Eosinophilic folliculitis

Eosinophilic folliculitis is an uncommon benign skin condition defined by skin rashes with acne-like characteristics. The condition typically affects young adult males.

The lesions generally form on the neck, head and shoulder area and often marked by significant itchiness. The skin condition can affect individuals with normal health and immune system. Nevertheless, it is observed among individuals who are immunocompromised.

Risk factors

The risk factors for eosinophilic folliculitis are not fully established but studies show that the following might be responsible for the condition:

Some infections such as:


Skin lesions on the head and neck area as well as in the trunk.

Some disorders and ailments such as:

  • Lymphoma and leukemia
  • Polycythemia vera

Take note that any condition that leads to diminished immune function such as organ transplant or HIV infection also increases the risk.

What are the signs?

  • Formation of pustules and papules
  • Acne-like skin condition
  • Skin lesions on the head and neck area as well as in the trunk
  • The lesions might arise for a few days to several months at a time
  • The papules and pustules are generally itchy which leads to continuous scratching of the areas

Management of eosinophilic folliculitis

The treatment options used in managing eosinophilic folliculitis is a case-by-case basis. In most cases, it includes:

  • Non-steroidal anti-inflammatory drugs (NSAIDs)
  • Oral drugs such as dapsone, tetracycline and metronidazole
  • Topical steroid creams
  • Antifungal ointments and creams
  • Allergy medications such as oral antihistamines
  • Isotretinoin creams
  • Antibacterial and antiviral drugs
  • Phototherapy
  • Management of the underlying immunodeficiency

The individual should strictly comply with the regular appointments set by the doctor.


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