title: Follicular mucinosis: an important differential diagnosis of leprosy in an endemic area.
abstract: Primary follicular mucinosis is a rare dermatosis characterized by the accumulation of mucin in the follicular epithelium and sebaceous glands. Clinically, it is characterized by the presence of papules or well-circumscribed and infiltrated plaques. In this paper, we report the case of a female patient, seven years old, evolving for three months with an asymptomatic, erythematous and infiltrated plaque located in the chin region. The research of thermal, pain and tactile sensitivity was inconclusive. Histological findings confirmed the diagnosis of follicular mucinosis. There was regression of the lesion with the use of medium potency topical corticosteroids for 20 days. The pathogenesis of follicular mucinosis remains unknown, being in some cases associated with lymphoproliferative disorders. In endemic areas of leprosy, isolated and infiltrated follicular mucinosis lesions should be further differentiated from leprosy.
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Danielle Cristine
authors: DC
authors: Westphal
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Silmara Navarro
authors: SN
authors: Pennini
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Petra Pereira de
authors: PP
authors: Souza
authors: Secretaria Municipal de Sáude de Manaus, Manaus, AM, BR.
authors: Gustavo Ávila
authors: GÁ
authors: Maquiné
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Antônio Pedro Mendes
authors: AP
authors: Schettini
authors: Fundação Alfredo da Matta, Manaus, AM, BR.
authors: Mônica
authors: M
authors: Santos
mesh_terms: D002648:Child; D003937:Diagnosis, Differential; D019353:Endemic Diseases; D005148:Facial Dermatoses / Q000473:pathology*; D005260:Female; D006801:Humans; D015441:Leprosy, Tuberculoid / Q000473:pathology*; D000507:Mucinosis, Follicular / Q000473:pathology*