Follicular mucinosis: an important differential diagnosis of leprosy in an endemic area

Autor: Danielle Cristine Westphal, Silmara Navarro Pennini, Petra Pereira de Souza, Gustavo Ávila Maquiné, Antônio Pedro Mendes Schettini, Mônica Santos
Jazyk: English<br />Portuguese
Rok vydání: 2015
Předmět:
Zdroj: Anais Brasileiros de Dermatologia, Vol 90, Iss 3 suppl 1, Pp 147-149 (2015)
Druh dokumentu: article
ISSN: 0365-0596
1806-4841
DOI: 10.1590/abd1806-4841.20153450
Popis: Abstract Primary follicular mucinosis is a rare dermatosis characterized by the accumulation of mucin in the follicular epithelium and sebaceous glands. Clinically, it is characterized by the presence of papules or well-circumscribed and infiltrated plaques. In this paper, we report the case of a female patient, seven years old, evolving for three months with an asymptomatic, erythematous and infiltrated plaque located in the chin region. The research of thermal, pain and tactile sensitivity was inconclusive. Histological findings confirmed the diagnosis of follicular mucinosis. There was regression of the lesion with the use of medium potency topical corticosteroids for 20 days. The pathogenesis of follicular mucinosis remains unknown, being in some cases associated with lymphoproliferative disorders. In endemic areas of leprosy, isolated and infiltrated follicular mucinosis lesions should be further differentiated from leprosy.
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