Dilek Seckin1, Oya Gurbuz, Cuyan Demirkesen. 1. Department of Dermatology, Marmara University School of Medicine, Istanbul, Turkey. seckin_dilek@yahoo.com
Abstract
BACKGROUND: Erosive pustular dermatosis is a distinctive clinical entity that has been described on either the scalp or legs. Chronic, shallow erosions covered by yellow crusts develop in atrophic or fibrotic skin. The scalp is the most commonly encountered localization, whereas erosive pustular dermatosis of the leg has also been reported in several cases. The histopathologic picture is nonspecific, and the disease is usually considered as a diagnosis of exclusion. OBJECTIVE AND CONCLUSION: We report two patients with erosive pustular dermatosis of the leg who were unresponsive to antibacterial and antifungal medications but were successfully treated with systemic steroids in combination with topical pimecrolimus in one of them and topical clobetasol in the other. The condition is simply overlooked, which accounts for its rare description in literature.
BACKGROUND: Erosive pustular dermatosis is a distinctive clinical entity that has been described on either the scalp or legs. Chronic, shallow erosions covered by yellow crusts develop in atrophic or fibrotic skin. The scalp is the most commonly encountered localization, whereas erosive pustular dermatosis of the leg has also been reported in several cases. The histopathologic picture is nonspecific, and the disease is usually considered as a diagnosis of exclusion. OBJECTIVE AND CONCLUSION: We report two patients with erosive pustular dermatosis of the leg who were unresponsive to antibacterial and antifungal medications but were successfully treated with systemic steroids in combination with topical pimecrolimus in one of them and topical clobetasol in the other. The condition is simply overlooked, which accounts for its rare description in literature.
Authors: Jamison D Feramisco; Tobias Goerge; Sarah E Schulz; Huong Lan Ma; Dieter Metze; Martin Steinhoff Journal: Acta Derm Venereol Date: 2012-01 Impact factor: 4.437