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Follicular mucinosis successfully treated with isotretinoin


European Journal of Dermatology. Volume 9, Number 1, 22-4, January - February 1999, Thérapeutique

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Author(s) : Cristina GUERRIERO, Clara DE SIMONE, Beatrice GUIDI, Maurizio ROTOLI, Antonio VENIER

Summary : We describe the case of a 33-year-old Caucasian male with follicular mucinosis successfully treated with isotretinoin. Follicular mucinosis is a primary idiopathic disease or a secondary, lymphoma-associated dermatosis. An effective standard therapy for this disease is unknown. In our case, isotretinoin led to a dramatic improvement of the skin lesions in about two weeks. To the best of our knowledge, the benefits of isotretinoin in the treatment of follicular mucinosis have never been reported previously. The efficacy of this drug could be mediated by a regulatory effect on the infiltrating cells and/or by a modulation of the target organ (skin) response to the infiltrating cells.

Keywords : acid mucopolysaccharide accumulation, alopecia mucinosa, follicular mucinosis, isotretinoin, retinoids, sebaceous gland.

 

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