Erosive pustular dermatosis of the leg: an overlooked entity?
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.


CONCLUSIONS
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.
Department of Dermatology, Marmara University School of Medicine, Istanbul, Turkey. seckin_dilek@yahoo.com
Dilek
D
Seckin
Oya
O
Gurbuz
Cuyan
C
Demirkesen
D000284:Administration, Oral; D000287:Administration, Topical; D000368:Aged; D065095:Calcineurin Inhibitors; D002990:Clobetasol / Q000008:administration & dosage*; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D005500:Follow-Up Studies; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D007868:Leg Dermatoses / Q000188:drug therapy* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology*; D012872:Skin Diseases, Vesiculobullous / Q000188:drug therapy* / Q000473:pathology; D016559:Tacrolimus / Q000008:administration & dosage / Q000031:analogs & derivatives*
D065095:Calcineurin Inhibitors; D005938:Glucocorticoids; D007166:Immunosuppressive Agents; C117268:pimecrolimus; D002990:Clobetasol; D016559:Tacrolimus