Perforating folliculitis with jaundice in an Indian male: a rare case with sclerosing cholangitis

    March 2004 in “ British Journal of Dermatology
    Supriya Mahajan, R V Koranne, Kabir Sardana, Vibhu Mendiratta, Ashmina Damani
    TLDR Surgery resolved the man's skin and liver issues, and he stayed symptom-free for a year.
    A 40-year-old Indian male presented with perforating folliculitis and jaundice, alongside symptoms such as itchy skin lesions, yellow urine, and malaise. Despite previous treatments, his condition persisted. Examination revealed hyperkeratotic papules and liver dysfunction, with imaging suggesting a bile duct stricture. Histopathology confirmed perforating folliculitis and sclerosing cholangitis, not cholangiocarcinoma. Surgical intervention, including a Roux-en-Y cholecystojejunostomy, led to the resolution of skin lesions and normalization of liver function within 3 months. The patient remained symptom-free during a 1-year follow-up.
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