A Case of Fungal Eosinophilic Folliculitis.
- Author:
Ji Hyun YI
1
;
Seung Yong LEE
;
Han Uk KIM
;
Chull Wan IHM
Author Information
1. Department of Dermatology, Chonbuk National University Medical School, Jeonju, Korea. hanukkim@chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Eosinophilic pustular folliculitis;
Fungal eosinophilic folliculitis
- MeSH:
Biopsy;
Cheek;
Child;
Classification;
Dapsone;
Diagnosis;
Eosinophils*;
Folliculitis*;
HIV;
Humans;
Hyphae;
Korea;
Male;
Paraffin
- From:Korean Journal of Dermatology
2005;43(9):1247-1251
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Recently, a new classification of eosinophilic folliculitis (EF) was made as follows: classic eosinophilic pustular folliculitis (EPF; Ofuji's disease), HIV associated EF, pediatric EF, fungal EF and miscellaneous group. A 10-year-old boy presented with a 2-week history of pruritic, erythematous papules with a plaque on his left cheek. A biopsy specimen revealed folliculitis with predominant eosinophilic infiltrates. Clinicohistopathologically, the most compatible diagnosis was eosinophilic pustular folliculitis and subsequently, dapsone was administered for 2 weeks but the lesion showed insufficient improvement, and the original confluent papules changed to a KOH-positive, arciform scaly lesion. A serial section from the paraffin block of the first biopsy, which had been histopathologically negative for fungal hyphae in the first, revealed hyphae in a single follicular canal in only one section out of 100 sections examined. This is believed to be the first reported case of fungal eosinophilic folliculitis in Korea.
