How do you manage patients with erosive pustular dermatosis?

First of all, it is very important not to miss underlying squamous cell carcinoma in cases labeled with erosive pustular dermatosis. I diagnosed moderately to poorly differentiated squamous cell carcinoma underneath the crusts in a couple of patients with known erosive pustular dermatosis of the scalp.

Like most dermatologists, I manage erosive pustular dermatosis as follows:

• Gently remove crusting to reduce the risk for pathergy
• Treat secondary bacterial infection as indicated
• High potency top...