DIAGNOSIS
The prognosis was comedonal folliculotropic mycosis fungoides (FMF). The authors level out that follicular lesions, together with comedones, are a really typical presentation of FMF. What was uncommon about this case was the truth that widespread comedones as the only real and preliminary manifestation of FMF is exceedingly uncommon.
Involvement of the eyebrows is very attribute in FMF and should current as an early illness manifestation in addition to a helpful clue within the differential prognosis. The authors describe how epidermotropic plaque lesions creating on this affected person after a few years of comedonal lesions are thought of to be indicative of an aggressive course and poor survival within the early stage of the illness.
Remedy for this affected person was with was with pegylated interferon alpha-2a and oral isotretinoin. The addition of isotretinoin helps to normalize follicular keratinization, which prevents the formation of recent comedo-like lesions. The affected person partially benefited from this twin remedy. He skilled hair regrowth and the comedo-like lesions have decreased.
To Learn extra about CTCL, go to our prior articles
“CTCL: A Quick Overview for Hair Specialists”
”Scarring Alopecia because of Follicular MF”
Reference
Paolino G et al. Widespread and eruptive comedonal lesions with alopecia. JAAD Case Rep . 2022 Nov 1;31:23-26.
