Journal of the American Academy of Dermatology
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J. Am. Acad. Dermatol. · Sep 2007
Case ReportsChronic atrophic erosive dermatosis of the scalp and extremities: A recharacterization of erosive pustular dermatosis.
Erosive pustular dermatosis (EPD) is a rarely reported condition that primarily involves the actinically damaged scalp of elderly women. Although the condition is well recognized in the United Kingdom and Europe, no US cases have heretofore been reported. ⋯ EPD is a fairly common disease and is the most likely diagnosis in instances where chronic, nonhealing, shallow erosions occur on actinically damaged, or otherwise atrophic, skin. In spite of the name, intact pustules are rarely present. The histology is that of moderate to marked, nonspecific chronic inflammation. EPD responds well to high-potency topical steroids.