Eosinophilic pustular folliculitis after phlebectomy: a case report

Abstract

Eosinophilic pustular folliculitis (EPF), also known as Ofuji disease, is a rare inflammatory condition in which eosinophils infiltrate the skin, primarily around hair follicles. Several variants of the condition exist, but all exhibit sterile erythematous folliculocentric papules with or without pustules and pruritus. Common areas affected are the seborrheic areas of the body. Although the exact pathophysiology is not fully understood, the condition is seen more commonly in people of Japanese heritage, infants, and immunosuppressed patients. Immunosuppressed manifestations are divided into human immunodeficiency virus (HIV)-associated and non-HIV–associated categories. The goals of management are identification and treatment of an underlying disorder if present, relief of pruritis, and prevention of secondary infection. Here, we present the case of an adult female patient who developed EPF after a phlebectomy.