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Published on: December 15, 2011
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.
Abstract:
Perforating folliculitis (PF) describes the process by which altered dermal material is eliminated from the epidermis through a follicular unit resulting in keratotic, follicular papules that favor hair-bearing regions of the forearms, arms, buttocks, and thighs. Diabetes mellitus (DM) and chronic renal failure (CRF) are commonly associated with PF. The more general term, acquired perforating dermatosis, has been applied to PF as well as Kyrles disease and the non-inherited form of perforating collagenosis. In this report, we describe an instance of PF that arose in the setting of preexisting antisynthetase syndrome.
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.
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