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The Clinical Picture

Fungal folliculitis masquerading as acute exanthematous pustulosis

Timmie Sharma, MD, Alok Vij, MD and Apra Sood, MD
Cleveland Clinic Journal of Medicine March 2016, 83 (3) 179-180; DOI: https://doi.org/10.3949/ccjm.83a.15028
Timmie Sharma
Department of Dermatology, University Hospitals Case Medical Center, Cleveland, OH
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Alok Vij
Department of Dermatology, Cleveland Clinic
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  • For correspondence: [email protected]
Apra Sood
Head, Section of Industrial Dermatology, Department of Dermatology, Cleveland Clinic
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    FIGURE 1

    A brightly erythematous plaque on the forehead with monomorphic pustules was noted on day 3 of piperacillin-tazobactam infusion.

  • FIGURE 2
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    FIGURE 2

    Histologic sections reveal Malassezia folliculitis and abscess formation within the dermis. The red circle highlights yeast forms within the follicular epithelium (hematoxylin and eosin, × 4).

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    FIGURE 3

    Histologic sections of a perifollicular dermal abscess show mixed inflammatory infiltrate including neutrophils and histiocytes centered on cleared-out spaces with small, grey-blue yeast forms (red arrow) (hematoxylin and eosin, × 100).

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Cleveland Clinic Journal of Medicine: 83 (3)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 3
1 Mar 2016
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Fungal folliculitis masquerading as acute exanthematous pustulosis
Timmie Sharma, Alok Vij, Apra Sood
Cleveland Clinic Journal of Medicine Mar 2016, 83 (3) 179-180; DOI: 10.3949/ccjm.83a.15028

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Fungal folliculitis masquerading as acute exanthematous pustulosis
Timmie Sharma, Alok Vij, Apra Sood
Cleveland Clinic Journal of Medicine Mar 2016, 83 (3) 179-180; DOI: 10.3949/ccjm.83a.15028
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