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.