Erosive Pustulosis of the Scalp Differential Diagnoses

  • Author: Kristin L Eastman, MD; Chief Editor: Dirk M Elston, MD  more...
 
Updated: Aug 05, 2014
 
 

Diagnostic Considerations

Erosive pustulosis of the scalp is a diagnosis of exclusion; therefore, other conditions, including malignancy, infection, neutrophilic dermatoses, and autoimmune blistering disorders, must first be excluded.[4]

Differential Diagnoses

 
 
Contributor Information and Disclosures
Author

Kristin L Eastman, MD Resident Physician, Department of Dermatology, University of Wisconsin School of Medicine and Public Health

Kristin L Eastman, MD is a member of the following medical societies: American Academy of Dermatology, American Society for Dermatologic Surgery, Women's Dermatologic Society, Chicago Dermatological Society, Wisconsin Dermatological Society

Disclosure: Nothing to disclose.

Coauthor(s)

Daniel D Bennett, MD Assistant Professor, Department of Dermatology, University of Wisconsin School of Medicine and Public Health

Daniel D Bennett, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Association, Society for Investigative Dermatology, Dermatology Foundation

Disclosure: Nothing to disclose.

Specialty Editor Board

David F Butler, MD Section Chief of Dermatology, Central Texas Veterans Healthcare System; Professor of Dermatology, Texas A&M University College of Medicine; Founding Chair, Department of Dermatology, Scott and White Clinic

David F Butler, MD is a member of the following medical societies: American Medical Association, Alpha Omega Alpha, Association of Military Dermatologists, American Academy of Dermatology, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Phi Beta Kappa

Disclosure: Nothing to disclose.

Warren R Heymann, MD Head, Division of Dermatology, Professor, Department of Internal Medicine, Rutgers New Jersey Medical School

Warren R Heymann, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Chief Editor

Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine

Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

Additional Contributors

Kathryn Schwarzenberger, MD Associate Professor of Medicine, Division of Dermatology, University of Vermont College of Medicine; Consulting Staff, Division of Dermatology, Fletcher Allen Health Care

Kathryn Schwarzenberger, MD is a member of the following medical societies: Women's Dermatologic Society, American Contact Dermatitis Society, Medical Dermatology Society, Dermatology Foundation, Alpha Omega Alpha, American Academy of Dermatology

Disclosure: Nothing to disclose.

Acknowledgements

Cary Chisholm, MD Dermatopathology Fellow, Department of Dermatology, University of Texas Southwestern Medical Center

Cary Chisholm, MD is a member of the following medical societies: College of American Pathologists, Texas Medical Association, and United States and Canadian Academy of Pathology

Disclosure: Nothing to disclose.

Eiriny M Tadros, MD Resident Physician, Department of Internal Medicine, Baylor College of Medicine

Eiriny M Tadros, MD is a member of the following medical societies: American College of Physicians, American Medical Association, and Texas Medical Association

Disclosure: Nothing to disclose.

References
  1. Pye RJ, Peachey RD, Burton JL. Erosive pustular dermatosis of the scalp. Br J Dermatol. 1979 May. 100(5):559-66. [Medline].

  2. Semkova K, Tchernev G, Wollina U. Erosive pustular dermatosis (chronic atrophic dermatosis of the scalp and extremities). Clin Cosmet Investig Dermatol. 2013. 6:177-82. [Medline]. [Full Text].

  3. Van Exel CE, English JC 3rd. Erosive pustular dermatosis of the scalp and nonscalp. J Am Acad Dermatol. 2007 Aug. 57(2 Suppl):S11-4. [Medline].

  4. Patton D, Lynch PJ, Fung MA, Fazel N. Chronic atrophic erosive dermatosis of the scalp and extremities: A recharacterization of erosive pustular dermatosis. J Am Acad Dermatol. 2007 Sep. 57(3):421-7. [Medline].

  5. Aigner B, Legat FJ, Schuster C, El Shabrawi-Caelen L. Sun-induced Pustular Dermatosis of the Scalp - A New Variant of Erosive Pustular Dermatosis of the Scalp?. Acta Derm Venereol. 2013 Nov 21. [Medline].

  6. Al-Benna S, Johnson K, Perkins W, O'Boyle C. Erosive pustular dermatosis: new description of a possible cause of the non-healing burn wound. Burns. 2014 Jun. 40(4):636-40. [Medline].

  7. Guarneri C, Vaccaro M. Erosive pustular dermatosis of the scalp following topical methylaminolaevulinate photodynamic therapy. J Am Acad Dermatol. 2009 Mar. 60(3):521-2. [Medline].

  8. Tavares-Bello R. Erosive pustular dermatosis of the scalp. A chronic recalcitrant dermatosis developed upon CO2 laser treatment. Dermatology. 2009. 219(1):71-2. [Medline].

  9. Marzano AV, Ghislanzoni M, Zaghis A, Spinelli D, Crosti C. Localized erosive pustular dermatosis of the scalp at the site of a cochlear implant: successful treatment with topical tacrolimus. Clin Exp Dermatol. 2009 Jul. 34(5):e157-9. [Medline].

  10. Erdmann M, Kiesewetter F, Schuler G, Schultz E. Erosive pustular dermatosis of the leg in a patient with ankylosing spondylitis: neutrophilic dysfunction as a common etiological factor?. Int J Dermatol. 2009 May. 48(5):513-5. [Medline].

  11. Mehmi M, Abdullah A. Erosive pustular dermatosis of the scalp occurring after partial thickness skin graft for squamous cell carcinoma. Br J Plast Surg. 2004 Dec. 57(8):806-7. [Medline].

  12. Laffitte E, Kaya G, Piguet V, Saurat JH. Erosive pustular dermatosis of the scalp: treatment with topical tacrolimus. Arch Dermatol. 2003 Jun. 139(6):712-4. [Medline].

  13. Seez M, Rodriguez-Martín M, Sidro M, Carnerero A, Garcia-Bustínduy M, Noda A. Successful treatment of erosive pustular dermatosis of the scalp with topical tacrolimus. Clin Exp Dermatol. 2005 Sep. 30(5):599-600. [Medline].

  14. Zahdi MR, Seidel GB, Soares VC, Freitas CF, Mulinari-Brenner FA. Erosive pustular dermatosis of the scalp successfully treated with oral prednisone and topical tacrolimus. An Bras Dermatol. 2013 Sep-Oct. 88(5):796-8. [Medline]. [Full Text].

  15. Meyer T, Lopez-Navarro N, Herrera-Acosta E, Jose A, Herrera E. Erosive pustular dermatosis of the scalp: a successful treatment with photodynamic therapy. Photodermatol Photoimmunol Photomed. 2010 Feb. 26(1):44-5. [Medline].

  16. Levakov O, Gajic B. Erosive pustular dermatosis of the scalp-is it really a rare condition?. Vojnosanit Pregl. 2014 Mar. 71(3):307-10. [Medline].

  17. Allevato M, Clerc C, del Sel JM, Donatti L, Cabrera H, Juarez M. Erosive pustular dermatosis of the scalp. Int J Dermatol. 2009 Nov. 48(11):1213-6. [Medline].

  18. Ikeda M, Arata J, Isaka H. Erosive pustular dermatosis of the scalp successfully treated with oral zinc sulphate. Br J Dermatol. 1982 Jun. 106(6):742-3. [Medline].

Previous
Next
 
Yellow-brown crusts with atrophy on the vertex scalp.
Yellow-brown crusts on the vertex scalp.
A dense perifollicular infiltrate is composed of lymphocytes, neutrophils, histiocytes, and multinucleated giant cells (hematoxylin and eosin, 200x).
Closer examination shows a predominantly neutrophilic infiltrate with a background of admixed lymphocytes and histiocytes (hematoxylin and eosin, 400x).
 
Medscape Consult
 
 
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.