Branching Dilated Vessels: A Possible Trichoscopic Clue for Diagnosis of Erosive Pustular Dermatosis of the Scalp in Children

Novel Insights from Clinical Practice

Abbenante D.a· Starace M.V.R.a,b· Leuzzi M.a,b· Chessa M.A.a,b· Piraccini B.M.a,b· Neri I.a

Author affiliations

aDermatology Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy
bDepartment of Experimental, Diagnostic and Specialty Medicine (DIMES) Alma Mater Studiorum University of Bologna, Bologna, Italy

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Article / Publication Details

First-Page Preview

Abstract of Novel Insights from Clinical Practice

Received: December 29, 2021
Accepted: April 13, 2022
Published online: May 12, 2022

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

Abstract

Introduction: Erosive pustular dermatosis of the scalp (EPDS) is an inflammatory scalp condition that usually affects the elderly, while only few cases have been reported in childhood. In children, it may mimic fungal or bacterial infections, especially kerion. Case Presentation: We describe the usefulness of trichoscopy as a supportive diagnostic tool in 2 cases of pediatric EPDS. Discussion: Clinical distinction between EPDS and different types of alopecia in children is difficult, with a significant likelihood of diagnostic errors and delay in therapy. Trichoscopy may provide a noninvasive option that can help avoid invasive diagnostic procedures in children.

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References Starace M, Iorizzo M, Trüeb RM, Piccolo V, Argenziano G, Camacho FM, et al. Erosive pustular dermatosis of the scalp: a multicentre study. J Eur Acad Dermatol Venereol. 2020 Jun;34(6):1348–54. LaCour M, Allen T, Wilkerson M, Nguyen AV, Gibson BR. A case of erosive pustular dermatosis of the scalp in a pediatric patient. JAAD Case Rep. 2019;5(2):118–20. Teng C, Yu J, Taylor J, Rubin AI, Treat JR. Erosive pustular dermatosis of the scalp in an adolescent with near-total hair regrowth: case report and review of the literature. Pediatr Dermatol. 2019;36(5):697–701. Fertig R, Maddy A, Cadore de Farias D, Simão Corrêa Filho S, Rigatti M, Tosti A. Erosive pustular dermatosis of the scalp after aplasia cutis congenita in a 9-year-old patient: a 5-year follow-up. Pediatr Dermatol. 2017;34(6):695–6. Waśkiel-Burnat A, Rakowska A, Sikora M, Ciechanowicz P, Olszewska M, Rudnicka L. Trichoscopy of tinea capitis: a systematic review. Dermatol Ther. 2020;10(1):43–52. Kumar P, Pandhi D, Bhattacharya SN, Das S. Trichoscopy as a monitoring tool in assessing treatment response in 98 children with tinea capitis: a prospective clinical study. Dermatol Ther. 2021;34(4):e15010. Yang X, Shi X, Chen W, Zhou Y, Lionakis MS, Kontoyiannis DP, et al. First report of kerion (tinea capitis) caused by combined Trichophyton mentagrophytes and Microsporum canis. Med Mycol Case Rep. 2020 May 19;29:5–7. Starace M, Loi C, Bruni F, Alessandrini A, Misciali C, Patrizi A, et al. Erosive pustular dermatosis of the scalp: clinical, trichoscopic, and histopathologic features of 20 cases. J Am Acad Dermatol. 2017 Jun;76(6):1109–14.e2. Article / Publication Details

First-Page Preview

Abstract of Novel Insights from Clinical Practice

Received: December 29, 2021
Accepted: April 13, 2022
Published online: May 12, 2022

Number of Print Pages: 4
Number of Figures: 2
Number of Tables: 0

ISSN: 2296-9195 (Print)
eISSN: 2296-9160 (Online)

For additional information: https://www.karger.com/SAD

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