Eosinophilic pustular folliculitis of infancy

A 3-week-old male neonate presented to the dermatology department with 5 days of progressively increasing pustules on the scalp and face. The mother was in good condition during pregnancy and had no history of varicella, syphilis, genital herpes or vaginal candidiasis. The baby was irritable, afebrile and without lymphadenopathy. A large number of isolated or clustered pustules on an erythematous background were found on the scalp and face (figure 1). Immediate Gram stain and potassium hydroxide preparation of the pustular contents, including cultures for bacteria and fungi, were negative. Wright stain showed a number of eosinophils. Blood test showed a white cell count of 9.7x109/L (reference range for age, 5.0–20.0x109/L) with 15.3% eosinophils. A diagnosis of eosinophilic pustular folliculitis of infancy (EPFI) was confirmed by the classic rash and elevated eosinophils. The patient was treated with topical 0.1% hydrocortisone butyrate ointment two times per day and eruption resolved...
Source: Archives of Disease in Childhood - Fetal and Neonatal Edition - Category: Perinatology & Neonatology Authors: Tags: Images in neonatal medicine Source Type: research