Sunday, December 20, 2009

Follicular Mucinosis?

Abstract: 27 yo woman with 6 month history of plaques face
HPI: This 27 year-old baker has asymptomatic plaques on the right cheek for six months. She has not been treated as yet.
O/E: Two ill-defined plaques on right cheek. There is a suggestion that follicular openings are dilated.
Clinical Photos:
One can compare the right and left cheeks. Dermoscopic image as well.
Normal left cheek on left, affected right cheek on right.




The image to the right is taken through a dermoscope.
I believe it shows dilated follicular openings.
I am not sure this has been reported.







Diagnosis: Possible Follicular mucinosis

Questions: Do you think this young woman should have a biopsy? Should she be observed? Treated?

Reference:
Gorpelioglu C, Sarifakioglu E, Bayrak R. A case of follicular mucinosis treated successfully with pimecrolimus. Clin Exp Dermatol. 2009 Jan;34(1):86-7.
This paper describes a 24 yo man with biopsy proven follicular mucinosis who was successfully treated with pimecrolimus.
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