01647nas a2200229 4500000000100000008004100001653002700042653002500069653003600094100001700130700001600147700002300163700001700186700002000203700001300223245009300236856010700329300001200436490000700448520094800455022001401403 2015 d10aTuberculoid; Mucinosis10aFollicular mucinosis10aDifferential Diagnosis; Leprosy1 aWestphal D C1 aPennini S N1 aPereira de Souza P1 aMaquiné G A1 aSchettini A P M1 aSantos M00aFollicular mucinosis: an important differential diagnosis of leprosy in an endemic area. uhttp://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962015000700147&lng=en&nrm=iso&tlng=en a147-1490 v903 a
Primary follicular mucinosis is a rare dermatosis characterized by the accumulation of mucin in the follicular epithelium and sebaceous glands. Clinically, it is characterized by the presence of papules or well-circumscribed and infiltrated plaques. In this paper, we report the case of a female patient, seven years old, evolving for three months with an asymptomatic, erythematous and infiltrated plaque located in the chin region. The research of thermal, pain and tactile sensitivity was inconclusive. Histological findings confirmed the diagnosis of follicular mucinosis. There was regression of the lesion with the use of medium potency topical corticosteroids for 20 days. The pathogenesis of follicular mucinosis remains unknown, being in some cases associated with lymphoproliferative disorders. In endemic areas of leprosy, isolated and infiltrated follicular mucinosis lesions should be further differentiated from leprosy.
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