{"id":8057,"date":"2020-04-26T23:54:44","date_gmt":"2020-04-27T02:54:44","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/foliculitis-pustulosa-eosinofilica\/"},"modified":"2020-04-27T14:55:44","modified_gmt":"2020-04-27T17:55:44","slug":"pustular-eosinophilic-folliculitis","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/foliculitis-pustulosa-eosinofilica\/","title":{"rendered":"Eosinophilic pustular folliculitis"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/foliculitis-pustulosa-eosinofilica\/#Que-es-eosinofilica-pustuloso-foliculitis\" >What is eosinophilic pustular folliculitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/foliculitis-pustulosa-eosinofilica\/#%C2%BFComo-es-la-foliculitis-pustular-eosinofilica\" >What is eosinophilic pustular folliculitis like?<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/foliculitis-pustulosa-eosinofilica\/#Foliculitis-eosinofilica-del-VIH\" >HIV eosinophilic folliculitis<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/foliculitis-pustulosa-eosinofilica\/#%C2%BFComo-se-diagnostica-la-foliculitis-eosinofilica\" >How is eosinophilic folliculitis diagnosed?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/foliculitis-pustulosa-eosinofilica\/#%C2%BFCual-es-la-causa-de-la-foliculitis-pustular-eosinofilica-del-VIH\" >What is the cause of HIV eosinophilic pustular folliculitis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/foliculitis-pustulosa-eosinofilica\/#%C2%BFCual-es-el-tratamiento-para-la-foliculitis-pustular-eosinofilica\" >What is the treatment for eosinophilic pustular folliculitis?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"Que-es-eosinofilica-pustuloso-foliculitis\"><\/span>What is it <span class=\"term\" data-term-id=\"449\">eosinophilic<\/span> <span class=\"term\" data-term-id=\"792\">pustular<\/span> folliculitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Eosinophilic pustular folliculitis is a <span class=\"term\" data-term-id=\"805\">recurrent<\/span> skin disorder of unknown cause. It is also known as eosinophilic folliculitis and Ofuji disease. Fur <span class=\"term\" data-term-id=\"1111\">biopsies<\/span> of this disorder find <span class=\"term\" data-term-id=\"448\">eosinophils<\/span> around <span class=\"term\" data-term-id=\"122\">hair<\/span> <span class=\"term\" data-term-id=\"1301\">follicles<\/span> - Hence its name.<\/p>\n<p>There are several variants of eosinophilic pustular folliculitis. They all have itching <span class=\"term\" data-term-id=\"366\">papules<\/span> or <span class=\"term\" data-term-id=\"1016\">pustules<\/span>. Eosinophilic pustular folliculitis is rare and affects men more frequently than women. Variants include:<\/p>\n<ul>\n<li>Classic type eosinophilic pustular folliculitis: This occurs most frequently in Japan<\/li>\n<li>Eosinophilic folliculitis associated with advanced human immunodeficiency virus (<span class=\"term\" data-term-id=\"127\">HIV<\/span>) <span class=\"term\" data-term-id=\"145\">infection<\/span>\n<\/li>\n<li>Infantile eosinophilic pustular folliculitis<\/li>\n<li>\n<span class=\"term\" data-term-id=\"30\">Cancer<\/span>Disease-associated eosinophilic pustular folliculitis<\/li>\n<li>Drug-associated eosinophilic pustular folliculitis.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-es-la-foliculitis-pustular-eosinofilica\"><\/span>What is eosinophilic pustular folliculitis like?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Eosinophilic pustular folliculitis presents with itchy, red or skin-colored dome-shaped papules and pustules. It may look like acne or other forms of folliculitis. Papules appear primarily on the face, scalp, neck, and trunk and may persist for weeks or months. Less commonly, <span class=\"term\" data-term-id=\"293\">urticarial<\/span> lesions are seen (these are larger red irritants <span class=\"term\" data-term-id=\"302\">bump<\/span>-like patches similar to <span class=\"term\" data-term-id=\"1646\">urticaria<\/span>) The palms and soles of the feet may rarely develop similar papules and pustules, but in such cases the condition should not be called folliculitis, since there are no follicles in these areas.<\/p>\n<p>Long-standing cases may develop. <span class=\"term\" data-term-id=\"53\">dermatitis<\/span> or a form of <span class=\"term\" data-term-id=\"243\">prurigo<\/span>, presumably from itching and scratching.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Foliculitis-eosinofilica-del-VIH\"><\/span>HIV eosinophilic folliculitis<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eos-folliculitis1__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-8661369-2956935' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eos-folliculitis1__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-8661369.jpg'>\n<\/div>\n<p class=\"p-small\">Eosinophilic folliculitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eos-folliculitis3__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-3224200-9113077' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eos-folliculitis3__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-3224200.jpg'>\n<\/div>\n<p class=\"p-small\">Eosinophilic folliculitis<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='eos-folliculitis2__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingildfd-4259911-5557367' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/eos-folliculitis2__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDFd-4259911.jpg'>\n<\/div>\n<p class=\"p-small\">Eosinophilic folliculitis<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-foliculitis-eosinofilica\"><\/span>How is eosinophilic folliculitis diagnosed?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Skin <span class=\"term\" data-term-id=\"24\">biopsy<\/span> reveals eosinophils beneath the skin&#039;s surface and around hair follicles and <span class=\"term\" data-term-id=\"262\">sebaceous<\/span> glands (see eosinophilic folliculitis) <span class=\"term\" data-term-id=\"223\">pathology<\/span>) In many cases, blood tests show a slight increase in <span class=\"term\" data-term-id=\"447\">eosinophils<\/span> cells and <span class=\"term\" data-term-id=\"427\">immunoglobulin<\/span>-E (IgE), and reduced levels of IgG and IgA.<\/p>\n<p>Eosinophilic pustular folliculitis is often a feature of immunodeficiency. Eosinophilic pustular folliculitis associated with HIV infection occurs when CD4 levels <span class=\"term\" data-term-id=\"420\">lymphocyte<\/span> cells drop below 300 cells\/mm<sup>3<\/sup>, a level at which there is an increased risk of secondary opportunistic infection. Cases of eosinophilic pustular folliculitis after bone marrow have also been reported. <span class=\"term\" data-term-id=\"1793\">transplant<\/span> before the immune system returns to normal functioning and in some individuals with hereditary immune deficiencies.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-la-causa-de-la-foliculitis-pustular-eosinofilica-del-VIH\"><\/span>What is the cause of HIV eosinophilic pustular folliculitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The cause of HIV eosinophilic pustular folliculitis is not known. Immunodeficiency appears to lead to an increased risk of allergic-type skin diseases. There is no proof that <span class=\"term\" data-term-id=\"937\">bacterial<\/span>, secondary fungal or viral infection is the cause, although some researchers have postulated overgrowth of Malassezia or Demodex (the hair <span class=\"term\" data-term-id=\"1300\">follicle<\/span> <span class=\"term\" data-term-id=\"1311\">Pinch<\/span>) could be involved. Another theory is that there is a change in the immune system that causes eosinophils to attack <span class=\"term\" data-term-id=\"898\">tallow<\/span> produced by the cells of the sebaceous glands.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-la-foliculitis-pustular-eosinofilica\"><\/span>What is the treatment for eosinophilic pustular folliculitis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In patients with HIV, eosinophilic pustular folliculitis is likely to improve or resolve with HAART (highly active antiretroviral therapy) as CD4 cell counts increase above 250\/mm<sup>3<\/sup>.<\/p>\n<p>Other treatments that may be effective include:<\/p>\n<ul>\n<li>Indomethacin and other non-steroidal anti-steroids<span class=\"term\" data-term-id=\"490\">inflammatory<\/span> The drugs are reported to be effective in up to 70% cases of eosinophilic folliculitis<\/li>\n<li>Dapsone<\/li>\n<li>Tetracycline antibiotics<\/li>\n<li>Other antibiotics, including metronidazole\n<\/li>\n<li>Phototherapy<\/li>\n<li><span class=\"term\" data-term-id=\"1330\">Current<\/span> steroids<\/li>\n<li>\n<p>Calcineurin inhibitors such as tacrolimus <span class=\"term\" data-term-id=\"1122\">ointment<\/span>\n<\/li>\n<li>\n<p>Oral antihistamines such as cetirizine.<\/li>\n<li>Colchicine<\/li>\n<li>Itraconazole<\/li>\n<li>Permethrin <span class=\"term\" data-term-id=\"1121\">cream<\/span> (topical insecticide)<\/li>\n<li>Nicotine patches<\/li>\n<li>\n<p>Isotretinoin and acitretin.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Que es eosinof\u00edlica pustuloso foliculitis? La foliculitis pustulosa eosinof\u00edlica es un recurrente trastorno de la piel de causa desconocida. Tambi\u00e9n se conoce como foliculitis eosinof\u00edlica y enfermedad de Ofuji. Piel&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8057","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8057","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8057"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8057\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8057"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8057"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8057"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}