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Suggest Treatment For Erosive Pustular Dermatosis

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Posted on Mon, 20 Nov 2017
Question: I'm 91 years old and have lost my sense of taste. I take a lot of drugs; e.g., sinemet, metropol, midodrine, cerofolin, atorvastin, zinc,iron, et al.

Also, I've been diagnosed with erosive pustular dermatosis. and have been told there's no cure. Is that so
Many thanks.
doctor
Answered by Dr. Dr. Kakkar (44 minutes later)
Brief Answer:
Regarding management of erosive pustular dermatosis

Detailed Answer:
Thank you for asking. I am Dr. Kakkar(Dermatologist). I have noted your concern.

Erosive pustular dermatosis affects the chronically sun-damaged skin, commonly of the scalp.

It starts as pustules and later progresses to lakes of pus and crusting overlying eroded patches/ plaques.

Apart from Potassium permanganate soaks to loosen crusts, specific treatment with topical superpotent steroids like Clobetasol propionate 0.05% or Halobetasol propionate 0.05% offers considerable relief in erosive pustular dermatosis. Intermittent treatment with topi al steroids may be required to sustain improvement.

Alternative treatment options include tacrolimus ointment, calcipotriol/ calcipotriene ointment etc especially if the condition relapses as soon as potent steroids are withdrawn.

These are prescription medications and I suggest that you discuss with your dermatologist for the needful.

Sun protection is advisable and it helps prevent flares/ progression of erosive pustular dermatosis.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Dr. Kakkar (2 hours later)
Thank you, Doctor. Is the condition curable? How long would you estimate that a cure will take?
doctor
Answered by Dr. Dr. Kakkar (9 hours later)
Brief Answer:
Regarding treatment of erosive pustular dermatosis

Detailed Answer:
hi.

Ultra potent topical steroids are of benefit and help keep the condition under remission. Use twice daily for 4-6 weeks and once the condition is in remission you may use the steroid cream intermittently for any flares.
Continue with sun protection all the time.

Regards
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Dr. Kakkar

Dermatologist

Practicing since :2002

Answered : 9615 Questions

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Suggest Treatment For Erosive Pustular Dermatosis

Brief Answer: Regarding management of erosive pustular dermatosis Detailed Answer: Thank you for asking. I am Dr. Kakkar(Dermatologist). I have noted your concern. Erosive pustular dermatosis affects the chronically sun-damaged skin, commonly of the scalp. It starts as pustules and later progresses to lakes of pus and crusting overlying eroded patches/ plaques. Apart from Potassium permanganate soaks to loosen crusts, specific treatment with topical superpotent steroids like Clobetasol propionate 0.05% or Halobetasol propionate 0.05% offers considerable relief in erosive pustular dermatosis. Intermittent treatment with topi al steroids may be required to sustain improvement. Alternative treatment options include tacrolimus ointment, calcipotriol/ calcipotriene ointment etc especially if the condition relapses as soon as potent steroids are withdrawn. These are prescription medications and I suggest that you discuss with your dermatologist for the needful. Sun protection is advisable and it helps prevent flares/ progression of erosive pustular dermatosis. Regards