Abstract: 80 yo man with intensely
pruritic papules face and neck for 2 months
HPI: This 80 yo man has a 2 month history of 2 – 3 mm erythematous
papules, mostly on face and neck. These are few in number. A trial cobetasol ointment was without relief. His medications are: amlodipine, HCTZ,
metroprolol, Vytorin (ezetimibe and eimvastatin), Pantoprazole. He is in good general health.
ClinicalPhotos: These show how subtle the lesions are.
Because of symptoms a Biopsy was done.
Histopath shows: focal erosion
and ulceration and ectatic blood vessels.
There is a moderate to dense superficial and deep perivascular perifollicular
lymphohistiocytic infiltrate with numerous eosinophils, marked mucin deposition
and conspicuous disruption of the follicular epitheliumThe pathologic diagnosis
includes, “infectious etiology,” eosinophilic folliculitis, and follicular
mucinosis.
Diagnosis: Acneiform Follicular Mucinosis might be the best fit.
Reference:
No comments:
Post a Comment
We welcome your comments. We endeavor to serve your patients and you. If you want us to respond, please add your name and email address. Some people have trouble uploading comments. In that case, please send comments directly to djelpern@gmail.com. Thank you.