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Acneiform follicular mucinosis: an indolent follicular mucinosis variant unrelated to mycosis fungoides?
Clin Exp Dermatol. 2018 Dec; 43(8):921-924.CE

Abstract

Follicular mucinosis (FM) can present as an acneiform eruption, and is usually a benign variant of primary FM unrelated to cutaneous T-cell lymphoma (CTCL). We report two cases of women in their twenties who presented with an acneiform rash on the face, arms and back. In both cases, pathological evaluation of the facial papules revealed predominantly mucinous degeneration of the follicular epithelium, with insufficient lymphocytic infiltration or atypia to diagnose mycosis fungoides. These cases are similar to previous reports of acneiform FM. As none of the reported cases progressed to CTCL, we consider that overdiagnosis and overtreatment should be avoided in acneiform FM, but recommend long-term follow-up.

Authors+Show Affiliations

Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center and Weill Cornell Medicine, New York, NY, USA.Department of Pathology, Memorial Sloan Kettering Cancer Center and Weill Cornell Medicine, New York, NY, USA.Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center and Weill Cornell Medicine, New York, NY, USA.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

29851124

Citation

Geller, S, et al. "Acneiform Follicular Mucinosis: an Indolent Follicular Mucinosis Variant Unrelated to Mycosis Fungoides?" Clinical and Experimental Dermatology, vol. 43, no. 8, 2018, pp. 921-924.
Geller S, Pulitzer M, Myskowski PL. Acneiform follicular mucinosis: an indolent follicular mucinosis variant unrelated to mycosis fungoides? Clin Exp Dermatol. 2018;43(8):921-924.
Geller, S., Pulitzer, M., & Myskowski, P. L. (2018). Acneiform follicular mucinosis: an indolent follicular mucinosis variant unrelated to mycosis fungoides? Clinical and Experimental Dermatology, 43(8), 921-924. https://doi.org/10.1111/ced.13671
Geller S, Pulitzer M, Myskowski PL. Acneiform Follicular Mucinosis: an Indolent Follicular Mucinosis Variant Unrelated to Mycosis Fungoides. Clin Exp Dermatol. 2018;43(8):921-924. PubMed PMID: 29851124.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Acneiform follicular mucinosis: an indolent follicular mucinosis variant unrelated to mycosis fungoides? AU - Geller,S, AU - Pulitzer,M, AU - Myskowski,P L, Y1 - 2018/05/30/ PY - 2017/10/18/accepted PY - 2018/6/1/pubmed PY - 2019/1/18/medline PY - 2018/6/1/entrez SP - 921 EP - 924 JF - Clinical and experimental dermatology JO - Clin Exp Dermatol VL - 43 IS - 8 N2 - Follicular mucinosis (FM) can present as an acneiform eruption, and is usually a benign variant of primary FM unrelated to cutaneous T-cell lymphoma (CTCL). We report two cases of women in their twenties who presented with an acneiform rash on the face, arms and back. In both cases, pathological evaluation of the facial papules revealed predominantly mucinous degeneration of the follicular epithelium, with insufficient lymphocytic infiltration or atypia to diagnose mycosis fungoides. These cases are similar to previous reports of acneiform FM. As none of the reported cases progressed to CTCL, we consider that overdiagnosis and overtreatment should be avoided in acneiform FM, but recommend long-term follow-up. SN - 1365-2230 UR - https://www.unboundmedicine.com/medline/citation/29851124/Acneiform_follicular_mucinosis:_an_indolent_follicular_mucinosis_variant_unrelated_to_mycosis_fungoides L2 - https://doi.org/10.1111/ced.13671 DB - PRIME DP - Unbound Medicine ER -