RESUMO
Intrauterine infections are associated with life-threatening neonatal conditions such as sepsis, intracranial hemorrhage, and chronic lung disease. Herein we present a case of generalized congenital folliculitis caused by Pseudomonas aeruginosa in a preterm neonate of 27 weeks gestational age successfully treated with antibiotics. Folliculitis is an important manifestation of intrauterine P. aeruginosa infection, and prompt, effective treatment is crucial to ensuring a good prognosis.
Assuntos
Foliculite/congênito , Recém-Nascido Prematuro , Infecções por Pseudomonas/congênito , Pseudomonas aeruginosa/isolamento & purificação , Antibacterianos/administração & dosagem , Foliculite/tratamento farmacológico , Foliculite/microbiologia , Humanos , Recém-Nascido , Masculino , Infecções por Pseudomonas/tratamento farmacológico , Infecções por Pseudomonas/microbiologia , Resultado do TratamentoRESUMO
La foliculitis pustular eosinofílica (FPE) constituye una alteración folicular rara, de origen desconocido, que puede presentarse en el período neonatal. Es una enfermedad autolimitada y actualmente se la incluye dentro de las pustulosis neonatales estériles. Se comunica el caso de un niño de 8 meses de edad con episodios recurrentes de pápulas y pústulas foliculares pruriginosas en el tronco y el cuero cabelludo, presentes desde el primer día de vida. El examen de laboratorio para bacterias y hongos fue negativo. Se realizó la biopsia de una lesión, donde se observó infiltrado folicular y perifolicular constituido por eosinófilos.
Eosinophilic pustular folliculitis is an uncommon follicular disorder of unknown etiology, which may begin in the neonatal period. It is a self-limiting disease and nowadays it is considered within the sterile neonatal pustulosis. We report a case of an 8-month-old boy who had recurrent episodes of pruritic follicular papular and pustular lesions on the trunk and scalp from the first day of life. Laboratory examination looking for infections caused by bacteria and fungi were negative. A skin biopsy was performed showing both perifollicular and follicular infiltrate of eosinophils.
Assuntos
Humanos , Masculino , Lactente , Foliculite/congênito , Ferimentos e Lesões/congênitoRESUMO
Eosinophilic pustular folliculitis (EPF) is a noninfectious eosinophilic infiltration of hair follicles first described 40 years ago. There are 3 variants: classic EPF, immunosuppression-associated (mostly HIV-related), and infancy-associated EPF. EPF has been classified as an AIDS-defining illness. In both children and adults EPF should be viewed as a possible cutaneous sign of immunosuppression. However, it may also be seen in persons with normal immune status. We review EPF on the 40th anniversary of its original description.
Assuntos
Eosinofilia , Foliculite , Tolerância Imunológica , Corticosteroides/uso terapêutico , Adulto , Criança , Diagnóstico Diferencial , Eosinofilia/congênito , Eosinofilia/diagnóstico , Eosinofilia/tratamento farmacológico , Eosinofilia/epidemiologia , Eosinofilia/imunologia , Eosinofilia/patologia , Foliculite/congênito , Foliculite/diagnóstico , Foliculite/tratamento farmacológico , Foliculite/epidemiologia , Foliculite/imunologia , Foliculite/patologia , Infecções por HIV/complicações , Humanos , PrognósticoRESUMO
We report the case of a 3-year-old boy with naevus comedonicus, characterized by confluent clusters of dilated follicular orifices plugged with keratinous material that resemble open comedones, located on the scalp.
