Gutte Rameshwar M
Department of Dermatology, Dr. L. H. Hiranandani Hospital, Powai, Mumbai, India.
Indian J Dermatol. 2013 May;58(3):243. doi: 10.4103/0019-5154.110863.
Secondary follicular mucinosis developing in adult patient with atopic dermatitis (AD) was observed on histology. Due to severity of disease, patient was started on oral cyclosporine 300 mg daily in 3 divided doses. Two weeks later patient started developing multiple spiny follicular keratoses mainly on face but also on extremities and trunk along with hair casts on scalp. Repeat biopsy from such keratotic lesions confirmed diagnosis spiny follicular hyperkeratosis (SFH). On investigations no evidence of multiple myeloma or any other malignancy was found. Cyclosporine was stopped and lesions cleared over 2 weeks. We report this case due to rare association of AD with follicular mucinosis and cyclosporine induced SFH with hair casts.
在组织学上观察到一名患有特应性皮炎(AD)的成年患者出现继发性毛囊黏蛋白沉积症。由于病情严重,患者开始每日口服环孢素300毫克,分3次服用。两周后,患者开始出现多个棘状毛囊角化病,主要分布在面部,但也见于四肢和躯干,同时头皮上有发鞘。对这些角化性病变进行重复活检,确诊为棘状毛囊角化过度(SFH)。检查未发现多发性骨髓瘤或任何其他恶性肿瘤的证据。停用环孢素后,病变在2周内消退。我们报告该病例是因为AD与毛囊黏蛋白沉积症以及环孢素诱导的伴有发鞘的SFH之间存在罕见关联。