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Successful treatment of erosive pustular dermatosis of the scalp with topical tacrolimus

bined with topical or systemic anti-infective agents, dermabrasion, CO2 laser vaporization and Grenz ray therapy. Full-thickness excision of affected skin with repair by split-thickness grafting may reduce sweating and provide improvement. Dapsone, vitamin E, psoralen ultraviolet A, methotrexate, or thalidomide have been recommended. Infection is a common complication, and in disease exacerbation several infective causes (bacterial ⁄ fungal ⁄ viral) need to be excluded. Although our patient was treated with Fucibet ointment with no improvement, this did not exclude an underlying fungal infection. When he presented to us, apart from lesions consistent with Hailey–Hailey disease there was also evidence of tinea pedis and widespread fungal infection (tinea incognito). Our patient was commenced on oral lamisil and topical ketoconazole ointment with reduced usage of topical steroids in the infected areas, and improved after treatment.