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VIGNETTES
Tufted Folliculitis of the Scalp and Treatment With Cyclosporine
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About 80% of patients treated with cyclosporine develop cutaneous adverse effects.1 These include manifestations of excessive epithelial proliferation: hypertrichosis, gingival hypertrophy, hyperplastic pseudofolliculitis barbae, pilar keratosis, epidermal (follicular infundibular) cysts, sebaceous gland hyperplasia, and, as recently described,2 folliculodystrophy syndrome. We report a case of tufted folliculitis of the scalp in a patient who was treated with cyclosporine.
Report of a Case
A 26-year-old white man received a kidney transplant 9 months before presentation to treat Schönlein-Henoch purpura. Since then, he had been treated with a regimen of cyclosporine and prednisone. He was referred to our dermatology unit because he had skin lesions on his scalp. He also presented with Williams-Beuren syndrome, which had been diagnosed during his first year of life. Clinical examination (Figure 1) of the scalp found papulonodules and follicular pustules grouped around tufts of 10 to 15 hairs emerging from the same ostium, as well as areas of scarring . . . [Full Text of this Article]
Comment
AUTHOR INFORMATION
David Farhi, MD;
Valérie Buffard, MD;
Nicolas Ortonne, MD;
Jean Revuz, MD, PhD
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