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Erythromelanosis follicularis faciei et colli

Erythromelanosis follicularis faciei et colli
SpecialtyDermatology

Erythromelanosis follicularis faciei et colli is an erythematous pigmentary disease involving the follicles, characterized by a reddish-brown, sharply demarcated, symmetrical discoloration involving the preauricular and maxillary regions.[1]: 775–6 

Signs and symptoms

Erythromelanosis follicularis faciei et colli is characterized by patches of erythema (with or without telangiectasia), follicular papules (follicular plugging), and bilateral and symmetrical hyperpigmentation (reddish-brown pigmentation) that start on the preauricular areas and cheeks and can eventually migrate to the submandibular portions of the neck.[2]

Causes

Although the cause of this disorder is unknown, familial cases, spontaneous mutation, and an autosomal recessive pattern of inheritance have all been documented.[3][4]

Diagnosis

Histopathologic observations include vascular dilatation in the upper dermis, hyperkeratosis, follicular plugging, and enhanced basal membrane pigmentation.[5]

Treatment

Topical therapies include metronidazole, ammonium lactate, tacalcitol ointment, retinoids, hydroquinone, and salicylic acid.[5] There have been reports of erythema and hyperpigmentation treated with pulsed dye laser or Nd:YAG laser.[6]

See also

References

  1. ^ James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. ISBN 0-7216-2921-0.
  2. ^ Rather, Shagufta; Yaseen, Atiya; Mukhija, Mani (2016). "Erythromelanosis follicularis faciei et colli - A cross-sectional, descriptive study". Indian Journal of Dermatology. 61 (3). Medknow: 308. doi:10.4103/0019-5154.182419. ISSN 0019-5154. PMC 4885184.
  3. ^ YANEZ, S.; VELASCO, J. A.; GONZALEZ, M. P. (1993). "Familial erythromelanosis follicularis faciei et colli-an autosomal recessive mode of inheritance". Clinical and Experimental Dermatology. 18 (3). Oxford University Press (OUP): 283–285. doi:10.1111/j.1365-2230.1993.tb02190.x. ISSN 0307-6938.
  4. ^ Augustine, M; Jayaseelan, E (2008). "Erythromelanosis follicularis faciei <i>et</i> colli: Relationship with keratosis pilaris". Indian Journal of Dermatology, Venereology and Leprology. 74 (1). Scientific Scholar: 47. doi:10.4103/0378-6323.38409. ISSN 0378-6323.
  5. ^ a b Thielmann, Carl Maximilian; Sondermann, Wiebke (2020-11-16). "Erythromelanosis Follicularis Faciei et Colli: A Case Report in a Caucasian Male and Brief Review of the Literature". Case Reports in Dermatology. 12 (3): 231–235. doi:10.1159/000511370. ISSN 1662-6567. PMC 7747045. PMID 33362509.
  6. ^ Al Hawsawi, Khalid; Aljuhani, Ohood; Niaz, Ghassan; Fallatah, Haneen; Alhawsawi, Abrar (2015-11-27). "Erythromelanosis Follicularis Faciei: A Case Report and Review of the Literature". Case Reports in Dermatology. 7 (3): 335–339. doi:10.1159/000442343. ISSN 1662-6567. PMC 4777903. PMID 26955328.

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