Follicular mucinosis

Synonym(s)

Alopecia mucinosa

Definition

Degenerative mucinosis of pilosebaceous units

Pathogenesis

Primary idiopathic form; secondary form associated with benign diseases such as lupus erythematosus, lichen simplex chronicus, and angiolymphoid hyperplasia, and with malignant diseases such as mycosis fungoides, Kaposi's sarcoma, and Hodg-kin's disease

Clinical manifestation

Pruritic, pink to yellow-white, follicular papules and plaques; may be solitary or multiple; face and scalp most common sites; non-scarring alopecia

Differential diagnosis

Alopecia areata; telogen effluvium; andro-genetic alopecia; keratosis pilaris; lichen spinulosus; lichen planopilaris

Therapy

High potency topical corticosteroid; triamcinolone 3-5 mg per ml intralesional

References

Truhan AP, Roenigk HH Jr (1986) The cutaneous mucinoses. Journal of the American Academy of Dermatology i4(i):i-i8

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