Eosinophilic Pustular Folliculitis (Ofuji’s Disease) Without Macroscopic Pustules

    July 2011 in “ International Journal of Dermatology ”
    M Uchiyama, Yoshihiko Mitsuhashi, Yukari Okubo, Ryoji Tsuboi
    TLDR EPF can occur without visible pustules.
    Eosinophilic pustular folliculitis (EPF), a rare skin condition first described in 1970, typically presents with itchy papules and pustules on erythematous plaques due to eosinophilic infiltration around hair follicles. This report detailed three cases of EPF that did not exhibit visible pustules throughout the observation period. Histopathological analysis confirmed eosinophilic infiltration in the lower dermis and subcutis, indicating that EPF can manifest in clinical variants without obvious pustules.
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