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2026, Number 1

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Dermatología Cosmética, Médica y Quirúrgica 2026; 24 (1)

Erosive pustular dermatosis of the scalp. Case report and review

Guzmán-Bucio S, Cabello-Hernández Abraham-Isaí, García-Fong Kevin-Ramón, Patiño-Orellana Claudia-Fernanda, Hernández-Vera M, Toussaint-Caire S, Vega-Memije María-Elisa
Full text How to cite this article

Language: Spanish
References: 26
Page: 56-62
PDF size: 331.45 Kb.


Key words:

erosive pustulosis of the scalp, scarring alopecia, scalp.

ABSTRACT

Erosive pustular dermatosis of the scalp (EPDS) is a rare, chronic inflammatory disease that primarily affects older adults and can result in cicatricial alopecia. It is often triggered by local insults such as trauma, medical interventions, and topical or systemic medications. It presents with pustules, erosions, superficial ulcers, and crusting on the scalp. The main treatment options include topical corticosteroids, topical calcineurin inhibitors, photodynamic therapy, among others, although relapses are common after discontinuation. We present the case of a 71-year-old woman with a long-standing scalp ulcer who underwent multiple treatments with a relapsing course, in whom an integral diagnostic workup ultimately led to the diagnosis of erosive pustular dermatosis of the scalp.


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Dermatología Cosmética, Médica y Quirúrgica. 2026;24