{"id":8076,"date":"2020-04-27T01:45:37","date_gmt":"2020-04-27T04:45:37","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/dermatosis-pustulosa-erosiva\/"},"modified":"2020-04-27T14:54:56","modified_gmt":"2020-04-27T17:54:56","slug":"dermatosis-pustular-erosive-2","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/","title":{"rendered":"Erosive pustular dermatosis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#Que-es-erosivo-pustuloso-dermatosis\" >What is erosive pustular dermatosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFQuien-contrae-dermatosis-pustulosa-erosiva\" >Who gets erosive pustular dermatosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFCual-es-la-causa-de-la-dermatosis-pustulosa-erosiva-del-cuero-cabelludo\" >What is the cause of erosive pustular dermatosis of the scalp?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-dermatosis-pustulosa-erosiva\" >What are the clinical features of erosive pustular dermatosis?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#Dermatosis-pustulosa-erosiva\" >Erosive pustular dermatosis<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFCuales-son-las-complicaciones-de-la-dermatosis-pustulosa-erosiva\" >What are the complications of erosive pustular dermatosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFComo-se-diagnostica-la-dermatosis-pustulosa-erosiva\" >How is erosive pustular dermatosis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#Cual-es-el-diagnostico-diferencial-para-la-dermatosis-pustulosa-erosiva\" >What is the differential diagnosis for erosive pustular dermatosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFCual-es-el-tratamiento-de-la-dermatosis-pustulosa-erosiva\" >What is the treatment for erosive pustular dermatosis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFSe-puede-prevenir-la-dermatosis-pustulosa-erosiva\" >Can erosive pustular dermatosis be prevented?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/dermatosis-pustulosa-erosiva\/#%C2%BFCual-es-el-pronostico-para-la-dermatosis-pustulosa-erosiva\" >What is the prognosis for erosive pustular dermatosis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-erosivo-pustuloso-dermatosis\"><\/span>What is it <span class=\"term\" data-term-id=\"537\">erosive<\/span> <span class=\"term\" data-term-id=\"792\">pustular<\/span> <span class=\"term\" data-term-id=\"60\">skin disease<\/span>?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erosive pustular dermatosis presents with <span class=\"term\" data-term-id=\"324\">located<\/span> areas of <span><span class=\"term\" data-term-id=\"1016\">pustules<\/span>eroded, lakes of pus, or crusts, that overlap <span class=\"term\" data-term-id=\"368\">plates<\/span> or <span class=\"term\" data-term-id=\"367\">nodules<\/span> and <\/span>mainly affects <span>the sun damaged<\/span> bald scalp of elderly people. <\/p>\n<p>Erosive pustular dermatosis is also known as erosive <span class=\"term\" data-term-id=\"1130\">pustulosis<\/span> and erosive pustular dermatosis of the scalp.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-dermatosis-pustulosa-erosiva\"><\/span>Who gets erosive pustular dermatosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erosive pustular dermatosis <span>occurs in men and women; The most affected people are over 80 years old and have <span class=\"term\" data-term-id=\"1144\">actinic <span class=\"term\" data-term-id=\"1596\">keratosis<\/span><\/span>  and a history of <span class=\"term\" data-term-id=\"270\">scaly<\/span> cell <span class=\"term\" data-term-id=\"32\">carcinoma<\/span> or (less frequently) <span class=\"term\" data-term-id=\"831\">basal<\/span> cell carcinoma of the scalp. Usually affects<\/span> areas of scars, as they arise after injury, skin <span class=\"term\" data-term-id=\"30\">Cancer<\/span> surgery or shingles. As another <span class=\"term\" data-term-id=\"443\">neutrophilic<\/span> <span class=\"term\" data-term-id=\"329\">skin disease<\/span>, may be more common in association with <span class=\"term\" data-term-id=\"1698\">immunosuppression<\/span>rheumatoid <span class=\"term\" data-term-id=\"1578\">arthritis<\/span> and <span class=\"term\" data-term-id=\"1896\">myeloid<\/span> <span class=\"term\" data-term-id=\"1522\">hematological<\/span> disorders<\/p>\n<p>Erosive pustular dermatosis has been reported as an adverse effect of <span class=\"term\" data-term-id=\"846\">epidermal<\/span> growth factor <span class=\"term\" data-term-id=\"782\">receiver<\/span> inhibitors, such as gefitinib.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-causa-de-la-dermatosis-pustulosa-erosiva-del-cuero-cabelludo\"><\/span>What is the cause of erosive pustular dermatosis of the scalp?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The cause of erosive pustular dermatosis of the scalp is unknown. However, it seems to be related to sun damage. It is often triggered by a minor injury to the affected skin (including a surgical procedure) (<span class=\"term\" data-term-id=\"225\">pathergy<\/span>), and defective wound healing may be involved. <span class=\"term\" data-term-id=\"145\">Infection<\/span> it is not believed to be the <span class=\"term\" data-term-id=\"949\">primary<\/span> cause, since the lesions do not go away with antibiotics alone.<\/p>\n<p>When it affects the lower legs, <span class=\"term\" data-term-id=\"1178\">venous<\/span> stasis and <span class=\"term\" data-term-id=\"201\">edema<\/span> may be involved.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-dermatosis-pustulosa-erosiva\"><\/span>What are the clinical features of erosive pustular dermatosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erosive pustular dermatosis usually begins with small pustules on the scalp, forehead, or temples. It has also been reported to affect the lower legs.<\/p>\n<p>Pustules develop into yellow-brown or greenish lakes of pus or crusts. If they are removed, the skin underneath is red and wet. Extensive disease can lead to extensive scarring and baldness.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Dermatosis-pustulosa-erosiva\"><\/span>Erosive pustular dermatosis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='epds1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4112665-5777820' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/epds1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4112665.jpg'>\n<\/div>\n<p class=\"p-small\">Erosive pustular dermatosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='epds2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-1530442-8717500' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/epds2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-1530442.jpg'>\n<\/div>\n<p class=\"p-small\">Erosive pustular dermatosis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='epds3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4204741-8593912' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/epds3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4204741.jpg'>\n<\/div>\n<p class=\"p-small\">Erosive pustular dermatosis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-complicaciones-de-la-dermatosis-pustulosa-erosiva\"><\/span>What are the complications of erosive pustular dermatosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The main complications of erosive pustular dermatosis are:<\/p>\n<ul>\n<li>Located <span class=\"term\" data-term-id=\"122\">hair<\/span> loss, which can be temporary or permanent<\/li>\n<li>Secondary <span class=\"term\" data-term-id=\"937\">bacterial<\/span> infection<\/li>\n<li>\n<p>Skin cancer.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-dermatosis-pustulosa-erosiva\"><\/span>How is erosive pustular dermatosis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erosive pustular dermatosis is diagnosed by its characteristic clinical appearance. <span class=\"term\" data-term-id=\"837\">Culture<\/span> of bacterial swabs can reveal <em>Staphylococcus aureus<\/em>. Scrapings for mycology can be done to rule out tinea capitis and kerion.<\/p>\n<p>The underlying eroded skin frequently suffers <span class=\"term\" data-term-id=\"24\">biopsy<\/span>as it is often difficult to determine clinically if there is an underlying skin cancer. Multiple and deep <span class=\"term\" data-term-id=\"1111\">biopsies<\/span> It can be useful. <span class=\"term\" data-term-id=\"129\">Histopathology<\/span> shows <span class=\"term\" data-term-id=\"1056\">subcorneal<\/span> and not<span class=\"term\" data-term-id=\"107\">follicular<\/span> epidermal pustules <span class=\"term\" data-term-id=\"137\">hypertrophy<\/span>or <span class=\"term\" data-term-id=\"18\">atrophy<\/span> and <span class=\"term\" data-term-id=\"536\">erosions<\/span>. There is a mix <span class=\"term\" data-term-id=\"52\">dermal<\/span> <span class=\"term\" data-term-id=\"490\">inflammatory<\/span> <span class=\"term\" data-term-id=\"541\">infiltrate<\/span>. what includes <span class=\"term\" data-term-id=\"1513\">plasma<\/span> cells and <span class=\"term\" data-term-id=\"196\"><span class=\"term\" data-term-id=\"442\">neutrophils<\/span><\/span>. Results are often nonspecific. <\/p>\n<h2><span class=\"ez-toc-section\" id=\"Cual-es-el-diagnostico-diferencial-para-la-dermatosis-pustulosa-erosiva\"><\/span>Which is the <span class=\"term\" data-term-id=\"813\">differential diagnosis<\/span> for erosive pustular dermatosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Other conditions that should be considered in the differential diagnosis of erosive pustular dermatosis include:<\/p>\n<ul>\n<li>\n<p>Squamous cell carcinoma or other skin cancer\n<\/li>\n<li>Brunsting-Perry kind of <span class=\"term\" data-term-id=\"188\">mucous<\/span> membrane pemphigoid<\/li>\n<li>\n<p>Bacterial infection or fungal infection\n<\/li>\n<li>\n<p>Folliculitis decalvans.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-de-la-dermatosis-pustulosa-erosiva\"><\/span>What is the treatment for erosive pustular dermatosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>the <span class=\"term\" data-term-id=\"966\">crust<\/span> should be removed by gentle soaking, perhaps using potassium permanganate (Condy&#039;s crystals) or acetic acid <span class=\"term\" data-term-id=\"1119\">solution<\/span> (diluted vinegar) as an antiseptic astringent. A soft wound dressing is then applied. <\/p>\n<p>Secondary bacterial infection should be treated with oral antistaphylococcal antibiotics such as flucloxacillin or erythromycin.<\/p>\n<p>Erosive pustular dermatosis of the scalp improves with powerful or ultra-powerful <span class=\"term\" data-term-id=\"1330\">current<\/span> Steroids are applied once or twice a day to the affected areas for a couple of weeks, then repeated as needed if the skin disorder reappears. If long-term topical steroid is required, a calcineurin inhibitor such as tacrolimus <span class=\"term\" data-term-id=\"1122\">ointment<\/span> It may be more suitable.<\/p>\n<p>Other treatments that are reported to be helpful include:<\/p>\n<ul>\n<li>\n<span class=\"term\" data-term-id=\"1413\">Anti-inflammatory<\/span> antibiotics for six weeks or more (eg, minocycline)<\/li>\n<li>\n<p>Calcipotriol <span class=\"term\" data-term-id=\"1121\">cream<\/span> to reduce <span class=\"term\" data-term-id=\"384\">climbing<\/span>\n<\/li>\n<li>\n<span class=\"term\" data-term-id=\"1145\">Cryotherapy<\/span> of underlying actinic keratoses<\/li>\n<li>Topical dapsone\n<\/li>\n<li>Zinc sulfate<\/li>\n<li><span class=\"term\" data-term-id=\"1571\">Photodynamic<\/span> therapy<\/li>\n<li>\n<p>Oral <span class=\"term\" data-term-id=\"762\">retinoids<\/span>, acetretin and isotretinoin.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFSe-puede-prevenir-la-dermatosis-pustulosa-erosiva\"><\/span>Can erosive pustular dermatosis be prevented?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Patients diagnosed with erosive pustular dermatosis should protect themselves from the sun (wear a wide-brimmed hat when outdoors) and be vigilant for early signs of <span class=\"term\" data-term-id=\"1074\">reappearance<\/span>, which should be treated as above.<\/p>\n<p>New actinic keratoses and skin cancers, especially squamous cell carcinoma, can develop in the affected areas and should be diagnosed and treated promptly. They can be difficult to distinguish from erosive pustular dermatosis of the scalp, so repeat biopsies may be necessary.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-pronostico-para-la-dermatosis-pustulosa-erosiva\"><\/span>What is the prognosis for erosive pustular dermatosis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Erosive pustular dermatosis usually goes away with treatment, but it can recur. The same treatment should be restarted, after careful re-examination of the skin to identify underlying skin cancers, if present.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es erosivo pustuloso dermatosis? La dermatosis pustulosa erosiva se presenta con localizado Areas de p\u00fastulas, lagos de pus, o costras, que se superponen erosionadas placas o n\u00f3dulos y afecta&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8076","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8076","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8076"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8076\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8076"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8076"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8076"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}