Case Number : Case 415 Posted By: Guest

Phillip McKee - Overseas Consultations (Cave Creek, Arizona, USA) Wrote:

There is follicular spongiosis with lymphocytosis and mucin deposition seen in Fig 4. The diagnosis is follicular mucinosis. This case was associated with mycosis fungoides. Eosinophils are often seen in this condition. I differentiate between folliculotropic MF and follicular mucinosis (alopecia mucinosa) since the clinical presentations are quite different and there is absence of mucin in folliculotropic MF.

Submitted on 11/01/2012 20:41
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Esinophilic folliculitis with secondary follicular mucinosis. DD insect bite reaction.

Submitted on 11/01/2012 16:15
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MAria Antonia Pastor - () Wrote:

Folliculotropic Mycosis fungoides

Submitted on 11/01/2012 15:44
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María Antonia Pastor - () Wrote:

Folliculotropic Mycosis fungo ideas

Submitted on 11/01/2012 15:43
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Francisco Vílchez - Department of Dermatology. Clinical Universitary Hospital (Málaga (Spain)) Wrote:

Eosinophilic folliculitis with follicular mucinosis

Submitted on 11/01/2012 15:20
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ANDREW DANCKWERTS - WITS UNIVERSITY (JOHANNESBURG, RSA) Wrote:

DENSE DERMAL INFILTRATE OF LYMPHOCYTES, HISTIOCYTES AND EOSINOPHILS. IN AREAS, GRANULOMATOUS INFLAMMATION IS NOTED. I THINK LEPROSY SHOULD BE CONSIDERED. THE DIFFERENTIAL DIAGNOSIS OF GRANULOMA FACIALE ALSO REQUIRES CONSIDERATION.

Submitted on 11/01/2012 14:30
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Marwa Fawzy - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Esinophilic folliculitis with follicular mucinosis

Submitted on 11/01/2012 14:29
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Mona Abdel Halim - Dermatology Department, Faculty of medicine, Cairo University (Egypt) Wrote:

Esinophilic folliculitis with secondary follicular mucinosis. Could be HIV related or idiopathic (Ofuji's).

Submitted on 11/01/2012 13:47
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Sasi Attili - (UK) Wrote:

Dense dermal infiltrate of lymphocytes, histiocytes with eosinophils. Infiltrate superficial and deep.Do not see neutrophils or nuclear dust though there is a sort of grenz zone on low power (was considering granuloma faciale but nuclear dust or evidence of vasculitis seen; though there is some endothelial swelling- ? reactive). However the epidermis does not appear normal and there does appear to be some spongiosis. Would like to see the epidermis up close. Given the features I think PAS and gram stain would be helpful to rule out an infective etiology. The other differential is granulomatous rosacea. CPC needed.

Submitted on 11/01/2012 13:01
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A Bansal - BCU HB (North Wales) Wrote:

?Eosinophilic folliculitis. No vasculitis appreciable.

Submitted on 11/01/2012 11:07
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Marcela Saeb Lima - INCMNSZ (Mexico City) Wrote:

Eosinophilic folliculitis with mucin deposition within the follicle

Submitted on 11/01/2012 10:24
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