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Alopecia mucinosa

Alopecia mucinosa, also known as Follicular mucinosis, Mucinosis follicularis, Pinkus' follicular mucinosis, and Pinkus' follicular mucinosis–benign primary form, is a skin disorder that generally presents, but not exclusively, as erythematous plaques or flat patches without hair primarily on the scalp, neck and face.[1]: 649 [2]: 188  This can also be present on the body as a follicular mucinosis and may represent a systemic disease.[3][4]

Alopecia mucinosa

Follicular mucinosis

Alopecia mucinosa is divided into three different variants, primary acute, primary chronic, and secondary alopecia mucinosa.[5]

Signs and symptoms[edit]

Follicle papules and alopecia are the two main clinical signs of alopecia mucinosa. There may be patches of follicular papules, plaques, and nodules. In addition to the usual erythema and scaling, active lesions might occasionally express mucous material. The most frequently involved areas are the face and the scalp.[6]

Causes[edit]

Although the precise pathophysiology is uncertain, it has been suggested that cell-mediated immunity and circulating immune complexes play a part in responding to persistent antigens like Staphylococcus aureus.[7]

Treatment[edit]

Topical, intralesional, and systemic glucocorticoidsdapsone, x-irradiationantimalarials, isotretinoin, indomethacin, minocycline, UVA1 phototheraphy, and PUVA photochemotheraphy, are among the treatment methods that have been documented in the therapy of this condition.[8]

List of cutaneous conditions

Rongioletti, Franco; De Lucchi, Simona; Meyes, Dan; Mora, Marco; Rebora, Alfredo; Zupo, Simonetta; Cerruti, Giannamaria; Patterson, James W. (2009-11-24). "Follicular mucinosis: a clinicopathologic, histochemical, immunohistochemical and molecular study comparing the primary benign form and the mycosis fungoides-associated follicular mucinosis". Journal of Cutaneous Pathology. 37 (1). Wiley: 15–19. :10.1111/j.1600-0560.2009.01338.x. ISSN 0303-6987. PMID 19615011.

doi

Zvulunov, Alex; Shkalim, Vered; Ben-Amitai, Dan; Feinmesser, Meora (2012). "Clinical and histopathologic spectrum of alopecia mucinosa/follicular mucinosis and its natural history in children". Journal of the American Academy of Dermatology. 67 (6). Elsevier BV: 1174–1181. :10.1016/j.jaad.2012.04.015. ISSN 0190-9622. PMID 22579407.

doi

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