“…It occurs most often as a solitary lesion in otherwise healthy persons. MEDFs are rare and have been reported in association with autoimmune and neoplastic diseases, with and without immunosuppressive treatment, HIV infections and other conditions, including hydronephrosis, diabetes, hypercholesterolemia, obesity, atopic dermatitis and pregnancy [1, 2, 3, 4, 5]. These conditions affect the immune status, suggesting that altered immunity may play a role in the pathogenesis of MEDF [1, 3].…”