Erosive pustular dermatosis after herpes zoster

Erosive pustular dermatosis of the scalp (EPDS) is an inflammatory dermatosis that shows nonmicrobial pustules, crusting, erosions, and causes scarred alopecia. It often affects the chronically photo-damaged skin of the elderly. EPDS can be clinically confused with bacterial or fungal infections, pemphigus vulgaris, squamous cell carcinoma, and artifact dermatitis. Histopathology is not specific to the disease. Topical and systemic steroids and estrogen, topical tacrolimus, photodynamic therapies, systemic acitretin are also successful treatments.1-5 As far as we know, our case is the fourth case reported after herpes zoster so far.2