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Diagnosis: Erosive pustular dermatosis
Description: Thick scale with islands of pus undermeath
Morphology: Pustules
Site: Scalp
Sex: M
Age: 84
Type: Clinical
Submitted By: Ian McColl
Differential DiagnosisHistory:
Erosive pustular dermatosis is commonly seen on the scalp of severely sun damaged individuals when the scalp is injured either from a graze or after surgery or cryotherapy to the solar damaged skin.
The best treatment is to use a strong topical steroid cream or lotion BD. It will reform scalp epithelium within 10 days. The pus is inflammatory rather than infective.