A case of perforating folliculitis in association with antisynthetase syndrome

K C Shaw1, J R Kaley2, M D Darling2

  • 1University of Maryland School of Medicine, Baltimore, MD USA.

Insights

Perforating folliculitis, a skin condition, can occur with autoimmune diseases. This case study details perforating folliculitis developing in a patient with antisynthetase syndrome.

Area of Science:

  • Dermatology
  • Rheumatology
  • Internal Medicine

Background:

  • Perforating folliculitis (PF) is characterized by follicular papules resulting from altered dermal material elimination through the epidermis.
  • PF is frequently associated with systemic conditions such as diabetes mellitus (DM) and chronic renal failure (CRF).
  • Acquired perforating dermatosis is a broader classification encompassing PF, Kyrle\'s disease, and perforating collagenosis.

Purpose of the Study:

  • To report a rare case of perforating folliculitis.
  • To describe the occurrence of PF in the context of antisynthetase syndrome.

Main Methods:

  • Case report detailing clinical presentation and patient history.
  • Review of existing literature on perforating folliculitis and antisynthetase syndrome.

Main Results:

  • The patient presented with clinical features consistent with perforating folliculitis.
  • The onset of PF was observed in a patient with a pre-existing diagnosis of antisynthetase syndrome.

Conclusions:

  • Perforating folliculitis can manifest in patients with autoimmune conditions like antisynthetase syndrome.
  • This association highlights the potential systemic links to acquired perforating dermatoses.

Related Concept Videos

Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
89
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
950
Sexually Transmitted Infections01:26

Sexually Transmitted Infections

Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
1.7K
Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
64
Hypersensitivity Reactions: Immune-Complex Reactions01:19

Hypersensitivity Reactions: Immune-Complex Reactions

Type III hypersensitivity reactions occur when antigen–antibody complexes form and activate the complement system. Normally, these complexes help the clearance of antigens by phagocytes and red blood cells. However, when large numbers of immune complexes are present, they can deposit in tissues—particularly in the walls of blood vessels—leading to inflammation and tissue injury. These deposits trigger complement activation and neutrophil recruitment, resulting in serum...
202
Nephrotic Syndrome I : Introduction01:24

Nephrotic Syndrome I : Introduction

Nephrotic Syndrome is a chronic kidney disorder defined by clinical findings such as severe proteinuria, hypoalbuminemia, hyperlipidemia, and edema. These symptoms result from damage to the glomeruli, the kidney’s filtering units, increasing their permeability to proteins.Definition and Meaning:Proteinuria, defined as the loss of more than 3.5 grams of protein per day in adults, is a crucial feature of nephrotic syndrome. This condition is often accompanied by edema, the accumulation of...
1.0K