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A New Type of Pustular Facial FolliculitisIn this article, Huang et al. describe the clinicopathologic features of 27 young adult patients in Taiwan with a peculiar eruption consisting of monomorphous, discrete, tiny, superficial pustules on the face and/or the neck.The number of lesions ranged from a few to hundreds and lasted 1-4 weeks, recurring in 80% of the patients.Itch was present in 45% of the cases.More than 90% of patients responded well to topical steroids with complete clearance of pustules.Histopathology in three cases showed infundibular pustules filled with neutrophils and a perivascular lymphohistiocytic infiltrate in the dermis.No microorganism was identified with Gram staining, and cultures in two patients yielded Cutibacterium acnes.The authors claim that this form of pustular eruption appears distinct from other facial dermatoses with follicular pustules.

Publication Details

Journal
JEADV Clinical Practice
Published
2025-12-01
DOI
https://doi.org/10.1002/jvc2.70202
Primary Topic
Autoimmune Bullous Skin Diseases
Type
article
Field-Weighted Citation Impact
0.00
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Autoimmune Bullous Skin Diseases
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Abstract

A New Type of Pustular Facial FolliculitisIn this article, Huang et al. describe the clinicopathologic features of 27 young adult patients in Taiwan with a peculiar eruption consisting of monomorphous, discrete, tiny, superficial pustules on the face and/or the neck.The number of lesions ranged from a few to hundreds and lasted 1-4 weeks, recurring in 80% of the patients.Itch was present in 45% of the cases.More than 90% of patients responded well to topical steroids with complete clearance of pustules.Histopathology in three cases showed infundibular pustules filled with neutrophils and a perivascular lymphohistiocytic infiltrate in the dermis.No microorganism was identified with Gram staining, and cultures in two patients yielded Cutibacterium acnes.The authors claim that this form of pustular eruption appears distinct from other facial dermatoses with follicular pustules.

JEADV Clinical PracticeVol. 4(5)
Openalex Percentile: Top 48%
Autoimmune Bullous Skin Diseases
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