Bullous eosinophilic cellulitis succession with eosinophilic pustular folliculitis without eosinophilia.

Bullous eosinophilic cellulitis succession with eosinophilic pustular folliculitis without eosinophilia.

1: J Dermatol. 2007 Jan;34(1):80-85.

Ercan ARCA
Osman KÖSE
Yildirim KARSLIOĞLU Halis Bülent TAŞTAN Murat DEMİRİZ
Departments of 1Dermatology and 2Pathology, Gülhane School of Medicine, Ankara, Turkey

Correspondence: Osman Köse, M.D., Associate Professor, Gülhane School of Medicine, Department of Dermatology, 06018 Ankara, Turkey. Email: okose@gata.edu.tr

Eosinophilic cellulitis is characterized clinically by an acute dermatitis resembling cellulitis with unknown etiology. Eosinophilic pustular folliculitis is also a rare inflammatory dermatosis characterized by recurrent crops of erythematous follicular papulopustules that coalesce to form annular plaques with unclear etiopathogenesis. We describe a 20-year-old white male who had vesiculobullous and plaque-like lesions on the hands and feet and was diagnosed with bullous eosinophilic cellulitis clinically and histologically without any etiological agents. Following therapy with oral corticosteroid and oral tetracycline capsules, the lesions disappeared. After a 2-month asymptomatic period, the patient developed pruritic follicular papules and pustules on the lower and upper extremities and upper back. Stool examination revealed Gierdia intestinalis eggs. The patient had complete clearance with treatment of ornidazol for 2 weeks and indomethacin for 2 months. This is the first report of bullous eosinophilic cellulitis coexisting with eosinophilic pustular folliculitis without eosinophilia in the English published work.

Abstract