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

Anais Brasileiros de Dermatologia

Danielle Cristine Westphal¹  Silmara Navarro Pennini¹  Petra Pereira De Souza¹  Gustavo Ávila Maquiné¹  Antônio Pedro Mendes Schettini¹  Mônica Santos¹ 

关键词: Diagnosis;    differential;    Leprosy;    tuberculoid;    Mucinosis;    follicular;   

DOI  :  10.1590/abd1806-4841.20153450

来源: SciELO

【 摘 要 】

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.

【 授权许可】

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