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FOLLICULAR MUCINOSIS IN A PATIENT WITH PARAPSORIASIS
- Source :
- Romanian Journal of Clinical Research. 2
- Publication Year :
- 2019
- Publisher :
- Asociatia Cercul de Stiinte Chirurgicale, 2019.
-
Abstract
- We present the case of a young patient, without comorbidities, who developed an erythematous-squamous, disseminated, discrete itchy rash, associated with scarring alopecia at the level of the scalp and the external third of the eyebrows, in 3-year evolution, in which two skin biopsies showed: subacute spongiotic dermatitis and psoriasiform dermatitis. As new lesions continued to appear despite treatment with phototherapy, systemic, local corticosteroids, it was decided to perform another skin biopsy: loose areas, granular appearance that color blue with Alcian Blue staining, thus supporting the diagnosis of follicular mucinosis. The treatment consisted of Acitretin 30 mg / day, with favorable evolution. Follicular mucinosis is a rare inflammatory disease, characterized by mucin deposits located in the follicular epithelium and sebaceous glands. There are two clinical forms: a primary, benign, limited to the skin, and a secondary form, commonly associated with cutaneous T-cell lymphoma. The evolution of both forms of follicular mucinosis is a chronic one, and the correct therapeutic attitude consists primarily in the periodic surveillance of the patient, with possible repeat biopsy, to exclude the form associated with a mycosis fungoides. The management of such patients is extremely difficult, as a number of conditions must be evaluated, such as: screening for collagenosis, diabetes, inflammatory bowel disease, evaluation of thyroid function, tumor markers.
- Subjects :
- Mycosis fungoides
medicine.medical_specialty
medicine.diagnostic_test
Parapsoriasis
business.industry
Scarring alopecia
medicine.disease
Dermatology
medicine.anatomical_structure
Scalp
Skin biopsy
General Earth and Planetary Sciences
Medicine
Thyroid function
business
Alopecia mucinosa
Psoriasiform Dermatitis
General Environmental Science
Subjects
Details
- ISSN :
- 26020467
- Volume :
- 2
- Database :
- OpenAIRE
- Journal :
- Romanian Journal of Clinical Research
- Accession number :
- edsair.doi...........aa1609e6b684e5e89e94c7276d918a6d