Clinical cases


Introduction: Eosinophilic pustular folliculitis (EPF) is a benign, chronic, recurrent condition most commonly described in people of Asian descent. It is found in three clinical forms: classic, associated with immunosuppression especially with HIv infection and infantile form.

Clinical case: A 38-year-old patient is consulted for papules and pustules, with a tendency to group and form plaques with central healing and peripheral extension, slightly pruriginous located on the face. The histopathological examination revealed multiple follicular lesions, infundibular spongiosis, eosinophilic follicular pustules in the infundibular segmentd, dermal and perivascular perifollicular infiltrate rich in eosinophils. Eosinophilia. HIv negative reaction. Treatment was prescribed with Indomethacin 2x25 mg/day for 40 days with wound healing.

Discussions: The etiopathogenesis of EPF is unknown and may be associated with HIv infection, other infections, drugs, other conditions (eg. lymphomas, leukemia), bone marrow or organ transplantation. Clinically is characterized by sterile localized papules and pustules, which meet on the face and trunk, and currently, there are subcornous pustules with eosinophils. Treatment includes several options such as topical with dermatocorticoids and oral indomethacin.