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Eosinophilic pustular folliculitis starting initially only with palmoplantar pustular lesions. Report of a case and review of the literature.
Dermatology. 1992; 185(4):276-80.D

Abstract

We report a 23-year-old Japanese male with eosinophilic pustular folliculitis (EPF) that had started with palmoplantar rash. Only when follicular pustules appeared on the bilateral cheek 31 months later, we revised our initial diagnosis of pustulosis palmaris et plantaris (PPP) to EPF, and all the skin eruptions cleared mostly with indomethacin. A review of the Japanese literature for the past 20 years disclosed that in 207 cases of EPF so far reported, palmoplantar pustular lesion was noted in 38 (18%). Among them, in 16 cases (8%) the skin lesions started first from the palmoplantar region with the average period of 26 months until the appearance of other eruptions of EPF. None of them was diagnosed as EPF when skin lesions were localized only to the palmoplantar region. When we find pustules on the palmoplantar region, we should suspect the possibility of early lesions of EPF as well as PPP. Histopathologic demonstration of multilocular pustules located in the upper epidermis containing numerous eosinophils in the palmoplantar pustular lesions, together with the dramatic therapeutic response to indomethacin greatly favor the diagnosis of EPF.

Authors+Show Affiliations

Department of Dermatology, Tohoku University School of Medicine, Sendai, Japan.No affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

1477422

Citation

Aoyama, H, and H Tagami. "Eosinophilic Pustular Folliculitis Starting Initially Only With Palmoplantar Pustular Lesions. Report of a Case and Review of the Literature." Dermatology (Basel, Switzerland), vol. 185, no. 4, 1992, pp. 276-80.
Aoyama H, Tagami H. Eosinophilic pustular folliculitis starting initially only with palmoplantar pustular lesions. Report of a case and review of the literature. Dermatology. 1992;185(4):276-80.
Aoyama, H., & Tagami, H. (1992). Eosinophilic pustular folliculitis starting initially only with palmoplantar pustular lesions. Report of a case and review of the literature. Dermatology (Basel, Switzerland), 185(4), 276-80.
Aoyama H, Tagami H. Eosinophilic Pustular Folliculitis Starting Initially Only With Palmoplantar Pustular Lesions. Report of a Case and Review of the Literature. Dermatology. 1992;185(4):276-80. PubMed PMID: 1477422.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eosinophilic pustular folliculitis starting initially only with palmoplantar pustular lesions. Report of a case and review of the literature. AU - Aoyama,H, AU - Tagami,H, PY - 1992/1/1/pubmed PY - 1992/1/1/medline PY - 1992/1/1/entrez SP - 276 EP - 80 JF - Dermatology (Basel, Switzerland) JO - Dermatology VL - 185 IS - 4 N2 - We report a 23-year-old Japanese male with eosinophilic pustular folliculitis (EPF) that had started with palmoplantar rash. Only when follicular pustules appeared on the bilateral cheek 31 months later, we revised our initial diagnosis of pustulosis palmaris et plantaris (PPP) to EPF, and all the skin eruptions cleared mostly with indomethacin. A review of the Japanese literature for the past 20 years disclosed that in 207 cases of EPF so far reported, palmoplantar pustular lesion was noted in 38 (18%). Among them, in 16 cases (8%) the skin lesions started first from the palmoplantar region with the average period of 26 months until the appearance of other eruptions of EPF. None of them was diagnosed as EPF when skin lesions were localized only to the palmoplantar region. When we find pustules on the palmoplantar region, we should suspect the possibility of early lesions of EPF as well as PPP. Histopathologic demonstration of multilocular pustules located in the upper epidermis containing numerous eosinophils in the palmoplantar pustular lesions, together with the dramatic therapeutic response to indomethacin greatly favor the diagnosis of EPF. SN - 1018-8665 UR - https://www.unboundmedicine.com/medline/citation/1477422/Eosinophilic_pustular_folliculitis_starting_initially_only_with_palmoplantar_pustular_lesions__Report_of_a_case_and_review_of_the_literature_ L2 - https://www.karger.com?DOI=10.1159/000247468 DB - PRIME DP - Unbound Medicine ER -