Erosive pustular dermatosis (EPD) is a rare inflammatory skin condition of unknown etiology. It is mostly reported as occurring on the scalp of elderly female patients following local trauma, including surgery, radiotherapy, cryotherapy, varicella zoster infections, and actinic damage. Initially, EPD is clinically characterized by erosions, large crusts, and pustules that persist and resist treatment for months or even years. The diagnosis of EPD is usually based on clinical findings because histopathology normally shows nonspecific changes with occasional dermal lymphoplasmacytic infiltrates, atrophy, and loss of hair follicles.

The increased number of cosmetic surgical and nonsurgical procedures has led to a greater demand to achieve aesthetically acceptable scars. Silicone gel (SG) dressings were evaluated in these cases following the principles of wound care and also minimizing abnormal scar formation. A newly developed solution in wound care in the form of a SG has proven to be a highly effective treatment for a series of 4 clinically challenging cases presented in this article: postprocedure healing after a laser treatment, nonhealing scalp wounds, chronic relapsing xerotic eczematous cheilitis, and the treatment of scars caused by third degree burns. A standard SG was applied to improve the scar outcome of severe burns of a young child. Silicone gels offer excellent clinical results in these 4 cases. In terms of wound care and scar management, they provide a user friendly, convenient application form and increase patient comfort and compliance. To pursue these results, further studies need to be conducted but as of now, there is strong suggestive evidence that SGs indicate beneficial properties for wound care management and scar prevention.