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Mycosis fungoides (MF) is characterized by a clonal proliferation of skin-homing mature T cells with special predilection for involving the epidermis. Folliculotropic and syringotropic MF typically present with erythematous papules, patches, and plaques, with punctate accentuation that is folliculocentric in the former. We report a 67-year-old woman, with an extensive history of allergic contact dermatitis, who was referred to the Mohs surgery clinic with a large pink plaque extending from the nasal bridge to the right upper medial cheek concerning for basal cell carcinoma.

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Beware the Manchineel: A Case of Irritant Contact Dermatitis.

Cutis

October 2024

Drs. Munoz and Whitecar are from the Department of Dermatology, Walter Reed National Military Medical Center, Bethesda, Maryland. Dr. Norton is from the Department of Dermatology, Uniformed Services University, Bethesda.

The manchineel tree (Hippomane mancinella) grows along the sand-vegetation boundary of Caribbean beaches. The tree also can be found in Florida and the US Virgin Islands. All parts of the tree are toxic.

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Background: Folliculotropic mycosis fungoides (FMF) is a rare cutaneous malignancy that can be mistaken for inflammatory diseases, such as discoid lupus erythematosus (DLE), due to the variability of histopathological findings.

Methods: This study aims to provide dermatopathologists with evidence-based histopathologic criteria to distinguish DLE from FMF by reporting overlapping and distinguishing microscopic features. Forty-three biopsies from patients with a confirmed diagnosis of DLE or FMF were graded for the presence or absence of 18 histopathologic features.

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Background: Follicular psoriasis (FP) is a rare and under-recognized subtype of psoriasis that affects hair follicles and can be frequently misdiagnosed due to its unique presentation.

Objective: We aimed to analyze the frequently reported clinical, histological, and dermatoscopic features of FP, as well as their treatment options.

Methods: We conducted a systematic review of the PubMed/MEDLINE database using the search terms "follicular" and "psoriasis.

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Folliculocentric tinea versicolor: a case report.

J Med Case Rep

September 2024

Department of Dermatology, Wuhan No. 1 Hospital, Wuhan, 430022, China.

Article Synopsis
  • Tinea versicolor is a common skin condition, and this report focuses on a unique follicular form observed in a patient with a past of keratosis pilaris.
  • A 46-year-old Asian woman presented with light brown patches on her trunk and axillae, which were diagnosed as folliculocentric tinea versicolor through clinical examination and microscopic analysis.
  • The case suggests a potential link between previous keratosis pilaris and the development of follicular tinea versicolor, although the exact causes of this form remain uncertain.
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