title: Eosinophilic pustular folliculitis (Ofuji's disease): indomethacin as a first choice of treatment.
abstract: Eosinophilic pustular folliculitis (EPF) is characterized by erythematous patches of large follicular papules and pustules involving mainly the face. Although various treatments have been attempted for EPF, including systemic and topical steroid, diaphenylsulphone, colchicine, minocycline as well as UVB phototherapy, there is no consensus on the first choice of treatment. We report a typical case and summarize 25 patients with EPF treated in our hospital between 1978 and 1998. Indomethacin was most frequently used (12/25) and showed clinical improvement in the majority of the cases (11/12). The effect of indomethacin was usually observed within 1--2 weeks after initiation of treatment. Decrease of peripheral blood eosinophils accompanied the clinical improvement. Thus, indomethacin should be considered as a first choice of treatment for EPF.
authors: Department of Dermatology, Keio University School of Medicine, Tokyo, Japan. ohta@med.keio.ac.jp
authors: T
authors: T
authors: Ota
authors: Y
authors: Y
authors: Hata
authors: A
authors: A
authors: Tanikawa
authors: M
authors: M
authors: Amagai
authors: M
authors: M
authors: Tanaka
authors: T
authors: T
authors: Nishikawa
mesh_terms: D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D004802:Eosinophilia / Q000188:drug therapy* / Q000532:radiotherapy; D005499:Folliculitis / Q000188:drug therapy* / Q000532:radiotherapy; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D014467:Ultraviolet Therapy
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal; D007213:Indomethacin