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[Eosinophilic pustular folliculitis in infancy: an unusual case].

Abstract

INTRODUCTION

Eosinophilic pustular folliculitis in children is a follicular inflammatory dermatosis, usually occurring early in life. The disease progresses in flares of prurigenous plaques studded with papules and sterile pustules of the scalp and other areas of the skin.

OBSERVATION

A 7 year-old boy presented with itching papular vesicular and pustular plaques on the scalp and the face. Pigmented plaques with pustular border, located on the trunk, were associated with pustular and erosive lesions of the side of the lower lip and in the nostrils. A specimen taken from the pustules did not show bacterial or fungal infection. Histologic examination of a biopsy specimen showed subcorneal pustules with eosinophilic and neutrophilic infiltrates of follicles. Clinical improvement was obtained only by the combination of steroids and dapsone, but recurrence followed withdrawal of treatment.

DISCUSSION

Eosinophilic pustular folliculitis in children is rare. Our case report combines features of the infancy form (lesions located on the scalp and face) and the adult form (location on the trunk and limbs with annular distribution), expressing the conceptual confusion that remains between both forms. The mucosal involvement seen in our patient has never been reported in the literature neither in the infancy nor in the adult form.

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  • Authors+Show Affiliations

    ,

    Service de Dermatologie, CHU Hédi Chaker 3029, Sfax, Tunisie.

    , , , ,

    Source

    MeSH

    Biopsy
    Child
    Diagnosis, Differential
    Eosinophilia
    Facial Dermatoses
    Folliculitis
    Humans
    Male
    Scalp
    Skin
    Skin Diseases, Vesiculobullous

    Pub Type(s)

    Case Reports
    English Abstract
    Journal Article

    Language

    fre

    PubMed ID

    12843859

    Citation

    Boudaya, S, et al. "[Eosinophilic Pustular Folliculitis in Infancy: an Unusual Case]." Annales De Dermatologie Et De Venereologie, vol. 130, no. 4, 2003, pp. 451-4.
    Boudaya S, Turki H, Bouassida S, et al. [Eosinophilic pustular folliculitis in infancy: an unusual case]. Ann Dermatol Venereol. 2003;130(4):451-4.
    Boudaya, S., Turki, H., Bouassida, S., Khemakhem, M., Marrakchi, S., & Zahaf, A. (2003). [Eosinophilic pustular folliculitis in infancy: an unusual case]. Annales De Dermatologie Et De Venereologie, 130(4), pp. 451-4.
    Boudaya S, et al. [Eosinophilic Pustular Folliculitis in Infancy: an Unusual Case]. Ann Dermatol Venereol. 2003;130(4):451-4. PubMed PMID: 12843859.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - [Eosinophilic pustular folliculitis in infancy: an unusual case]. AU - Boudaya,S, AU - Turki,H, AU - Bouassida,S, AU - Khemakhem,M, AU - Marrakchi,S, AU - Zahaf,A, PY - 2003/7/5/pubmed PY - 2003/9/27/medline PY - 2003/7/5/entrez SP - 451 EP - 4 JF - Annales de dermatologie et de venereologie JO - Ann Dermatol Venereol VL - 130 IS - 4 N2 - INTRODUCTION: Eosinophilic pustular folliculitis in children is a follicular inflammatory dermatosis, usually occurring early in life. The disease progresses in flares of prurigenous plaques studded with papules and sterile pustules of the scalp and other areas of the skin. OBSERVATION: A 7 year-old boy presented with itching papular vesicular and pustular plaques on the scalp and the face. Pigmented plaques with pustular border, located on the trunk, were associated with pustular and erosive lesions of the side of the lower lip and in the nostrils. A specimen taken from the pustules did not show bacterial or fungal infection. Histologic examination of a biopsy specimen showed subcorneal pustules with eosinophilic and neutrophilic infiltrates of follicles. Clinical improvement was obtained only by the combination of steroids and dapsone, but recurrence followed withdrawal of treatment. DISCUSSION: Eosinophilic pustular folliculitis in children is rare. Our case report combines features of the infancy form (lesions located on the scalp and face) and the adult form (location on the trunk and limbs with annular distribution), expressing the conceptual confusion that remains between both forms. The mucosal involvement seen in our patient has never been reported in the literature neither in the infancy nor in the adult form. SN - 0151-9638 UR - https://www.unboundmedicine.com/medline/citation/12843859/[Eosinophilic_pustular_folliculitis_in_infancy:_an_unusual_case]_ L2 - http://www.em-consulte.com/retrieve/pii/MDOI-AD-04-2003-130-4-0151-9638-101019-ART12 DB - PRIME DP - Unbound Medicine ER -