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Eosinophilic pustulosis of the scalp in childhood.
J Am Acad Dermatol. 1992 Jul; 27(1):55-60.JA

Abstract

BACKGROUND

Among sterile pustulosis in childhood, a pruritic relapsing eosinophilic variant beginning in infancy and located mostly in the scalp was first described as eosinophilic pustular folliculitis in infancy by Lucky and colleagues in 1984.

OBJECTIVE

Our purpose is to describe such a condition in five boys and one girl and comment on differential diagnosis and relation with Ofuji's disease.

METHOD

This is a clinicopathologic study.

RESULTS

All patients had scalp pustules beginning in infancy or early childhood that were unresponsive to antibiotic therapy. Lesions also occurred on other areas but the scalp was the major site of involvement. Although secondary infection was demonstrated in one case, the lesions were primarily sterile. Smears of pustules showed a variable proportion of eosinophils. Histopathologic findings suggested a major role for eosinophils in this disorder because dermal eosinophilia was noted in all patients. The inflammatory pattern was not similar to Ofuji's disease. Transient blood eosinophilia was recorded in five patients. Topical steroids relieved inflammatory episodes. Dapsone was tried in one case with apparent benefit.

CONCLUSION

Eosinophilic pustulosis of the scalp in childhood is a self-limited disease that can be relieved by topical steroids.

Authors+Show Affiliations

Dermatology Service, Hôpital des Enfants, Bordeaux, France.No affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

1619077

Citation

Taïeb, A, et al. "Eosinophilic Pustulosis of the Scalp in Childhood." Journal of the American Academy of Dermatology, vol. 27, no. 1, 1992, pp. 55-60.
Taïeb A, Bassan-Andrieu L, Maleville J. Eosinophilic pustulosis of the scalp in childhood. J Am Acad Dermatol. 1992;27(1):55-60.
Taïeb, A., Bassan-Andrieu, L., & Maleville, J. (1992). Eosinophilic pustulosis of the scalp in childhood. Journal of the American Academy of Dermatology, 27(1), 55-60.
Taïeb A, Bassan-Andrieu L, Maleville J. Eosinophilic Pustulosis of the Scalp in Childhood. J Am Acad Dermatol. 1992;27(1):55-60. PubMed PMID: 1619077.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eosinophilic pustulosis of the scalp in childhood. AU - Taïeb,A, AU - Bassan-Andrieu,L, AU - Maleville,J, PY - 1992/7/1/pubmed PY - 1992/7/1/medline PY - 1992/7/1/entrez SP - 55 EP - 60 JF - Journal of the American Academy of Dermatology JO - J Am Acad Dermatol VL - 27 IS - 1 N2 - BACKGROUND: Among sterile pustulosis in childhood, a pruritic relapsing eosinophilic variant beginning in infancy and located mostly in the scalp was first described as eosinophilic pustular folliculitis in infancy by Lucky and colleagues in 1984. OBJECTIVE: Our purpose is to describe such a condition in five boys and one girl and comment on differential diagnosis and relation with Ofuji's disease. METHOD: This is a clinicopathologic study. RESULTS: All patients had scalp pustules beginning in infancy or early childhood that were unresponsive to antibiotic therapy. Lesions also occurred on other areas but the scalp was the major site of involvement. Although secondary infection was demonstrated in one case, the lesions were primarily sterile. Smears of pustules showed a variable proportion of eosinophils. Histopathologic findings suggested a major role for eosinophils in this disorder because dermal eosinophilia was noted in all patients. The inflammatory pattern was not similar to Ofuji's disease. Transient blood eosinophilia was recorded in five patients. Topical steroids relieved inflammatory episodes. Dapsone was tried in one case with apparent benefit. CONCLUSION: Eosinophilic pustulosis of the scalp in childhood is a self-limited disease that can be relieved by topical steroids. SN - 0190-9622 UR - https://www.unboundmedicine.com/medline/citation/1619077/Eosinophilic_pustulosis_of_the_scalp_in_childhood_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0190-9622(92)70156-A DB - PRIME DP - Unbound Medicine ER -