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Published on: September 20, 2018
Infantile Eosinophilic Pustular Folliculitis in a Child Aged 7 Years: A Case Report
Weikang Shi1,2, Yuwen Lu1, Fangyan Zhou1
1Department of Dermatology, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, People's Republic of China.
Insights
Infantile Eosinophilic Pustular Folliculitis (I-EPF) can affect older children. A 7-year-old patient achieved successful treatment with azithromycin and narrow-band Ultraviolet B (NB-UVB) therapy, showing no recurrence.
Area of Science:
- Dermatology
- Pediatric Medicine
Background:
- Eosinophilic pustular folliculitis (EPF) is a rare, chronic, pruritic, aseptic skin condition.
- Infantile EPF (I-EPF) typically presents in infants, with limited data on older children.
Observation:
- A 7-year-old child presented with symptoms consistent with I-EPF.
- The patient had no prior history of similar conditions.
Findings:
- Successful treatment was achieved using a combination of oral azithromycin and topical narrow-band Ultraviolet B (NB-UVB) irradiation.
- The patient experienced no recurrence of I-EPF following treatment and during follow-up.
Implications:
- This case suggests that I-EPF can manifest in older pediatric patients.
- The combination therapy of azithromycin and NB-UVB may be an effective treatment option for I-EPF in children.
- Further research is warranted to explore this treatment approach in a larger pediatric cohort.
Abstract:
Eosinophilic pustular folliculitis (EPF) is a rare, chronic, itchy, aseptic disease. Although most cases of infantile EPF (I-EPF) are detected in infants, we found that a 7-year-old child with I-EPF, who received treatment with oral azithromycin in combination with topical narrow bound Ultra Violet B light (NB-UVB) irradiation, with no recurrence at follow-up. Our experience with the successful treatment of this patient can provide a reference for more pediatric patients.
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