Common condition with uncommon cause: fungal folliculitis in immunosuppressed patient with Blau syndrome

BMJ Case Rep. 2022 Jun 8;15(6):e243565. doi: 10.1136/bcr-2021-243565.

Abstract

We present a case of a patient with a history of Blau syndrome, who presented with acute onset of widespread florid painful folliculitis rash, which was resistant to the treatment with multiple courses of antibiotics in the community. Despite of the negative skin swab and negative periodic acid-schiff (PAS)stain on the skin biopsy, clinical diagnosis was fungal folliculitis and patient responded well to the course of itraconazole.

Keywords: Dermatology; Skin.

Publication types

  • Case Reports

MeSH terms

  • Arthritis
  • Folliculitis* / diagnosis
  • Folliculitis* / drug therapy
  • Folliculitis* / microbiology
  • Humans
  • Sarcoidosis* / complications
  • Sarcoidosis* / diagnosis
  • Sarcoidosis* / drug therapy
  • Synovitis*
  • Uveitis* / diagnosis
  • Uveitis* / drug therapy

Supplementary concepts

  • Blau syndrome