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March 1993

Pityrosporum Folliculitis and Severe Pruritus in Two Patients With Hodgkin's Disease

Author Affiliations

Division of Dermatology Department of Medicine The Milton S. Hershey Medical Center The Pennsylvania State University College of Medicine PO Box 850 Hershey, PA 17033

Arch Dermatol. 1993;129(3):380-381. doi:10.1001/archderm.1993.01680240126024

To the Editor.—  Pityrosporum folliculitis usually occurs in young and middle-aged healthy patients. We describe two patients with Pityrosporum folliculitis and severe pruritus associated with Hodgkin's disease.

Report of Cases.—Case 1.—  A 32-year-old man presented with an 8-month history of an intensely pruritic rash. Findings from his physical examination disclosed numerous (>200) excoriated papules in a generalized distribution but most notably on his buttocks and legs. Several skin biopsies were performed. Two biopsy specimens showed folliculitis, one showing a lymphocytic infiltrate with eosinophils and the other a nonspecific dermatitis. One biopsy specimen demonstrating folliculitis had numerous yeast forms within dilated hair follicles and surrounding inflammation consistent with Pityrosporum folliculitis. Another physical examination failed to reveal lymphadenopathy or hepatosplenomegaly. Because of the intensity of the pruritus, a chest roentgenogram was also obtained but was incorrectly interpreted as normal. Three months later, our patient was admitted to another hospital for a lump

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