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Remedies and Cure of Erosive Pustular Dermatosis



 

Erosive pustular dermatosis of the scalp is a condition in which tiny pustules form on the scalp, forehead or temples of the elderly. Similar condition can also arise in legs. Erosive pustular dermatosis of the scalp affects severely sun damaged skin usually in areas of scarring such as after injury, skin cancer surgery or shingles.


Erosive pustular dermatosis is an idiopathic, chronic relapsing, amicrobial, pustular skin disease of the scalp, classified by the North American Hair Research Society as a mixed alopecia.

Tiny pustules (small inflamed skin swellings that are filled with pus) form on the scalp, forehead or temples of the affected persons. The pustules are usually sterile (uninfected) but they can become secondarily colonized by bacteria such as Staphylococcus aureus after the condition has developed. This disorder primarily occurred in older Caucasian women.

The pustules evolve into yellow brown crusts. If these are removed, the skin underneath is red and moist. Extensive disease can itself result in scarring and extensive balding. The pustules are usually sterile but can become secondarily colonised by bacteria such as Staphylococcus aureus.

Causes of Erosive pustular dermatosis

The cause of erosive pustular dermatosis of the scalp is unknown. However, it sometimes appears to be relate to sun damage and is possibly triggered by a minor injury to the affected skin.

Treatment of Erosive pustular dermatosis

The most common treatment approach involves corticosteroids. The use of class I and class II steroids have shown rapid improvement of erosive pustular dermatosis. Sustained therapy is required for long-lasting effect of treatment.

Points to be noted while taking medication:

  • Effective use of Zinc sulphate has been documented in the treatment of erosive pustular dermatosis.
  • Oral isotretinoin, a chemical compound that inhibits the secretion of sebum, and dapsone (antibacterial drug) are ineffective in the treatment of Erosive pustular dermatosis of the scalp.
  • Oral and topical antibiotics have provided transient benefits, especially for secondary infection.
  • Calcipotriol cream as a potential alternative to steroids has been found to induce remission.
  • Patients with erosive pustular dermatosis of the scalp should see their medical practitioner or dermatologist regularly as negligence in treatment may lead to development of new keratoses and skin cancers in the affected areas.

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Hair & Scalp

Acne cheloidalis (keloidalis)
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