A Case of Erosive Pustular Dermatosis Caused by Burn Scar

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  • Yamamoto Yuko
    Department of Plastic and Reconstructive Surgery, Yokohama City University Graduate School of Medicine
  • Kuroyanagi Misato
    Department of Plastic and Reconstructive Surgery, Yokohama City University Graduate School of Medicine Department of Emergency Medicine, Yokohama City University Graduate School of Medicine
  • Umeda Ryu
    Department of Plastic and Reconstructive Surgery, Yokohama City University Graduate School of Medicine
  • Harunari Nobuyuki
    Shonan Sanada Clinic
  • Takeuchi Ichiro
    Department of Emergency Medicine, Yokohama City University Graduate School of Medicine

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  • 熱傷後瘢痕に生じたerosive pustular dermatosisの1例

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Abstract

 Erosive pustular dermatosis (EPD) is an inflammatory dermatosis characterized by pustules, crusts, and erosions located on the scalp. The etiology is poorly understood, but known predisposing factors are trauma, surgery, and ultraviolet exposure.<br>  A 55-year-old male sustained 60% TBSA flame burns due to a gas fire, which required skin grafting. He was transferred 3 months after injury. Six months after the transfer, he returned to our hospital because multiple ulcers and black crusts on the burn were observed.<br>  Treatment of infection was unsuccessful. The patient was started on topical corticosteroid treatment, which significantly improved the lesions.<br>  Based on the clinical course and nonspecific biopsy, a diagnosis of erosive pustular dermatosis (EPDS) was established. When pustules, crusts, and erosions are observed on burn scars, the possibility of EPD in addition to bacterial infection should be considered.

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