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Image Number 269 (Follicular Mucinosis)

 
Morphology:
Plaque

Diagnosis: Follicular Mucinosis

Site: Cheek

Sex: M

Age: 68

Type: Clinical

Description: Large plaques of mucin deposition in the skin

Submitted by: Ian McColl

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Differential Diagnosis

History:

This man was one of the rarer cases of Follicular mucinosis which are associated with Mycosis fungoides.Pressure on the plaques would cause clear mucin to bead up from the hair follicle openings although this phenomenon is commoner in the benign types.His histology showed epidermotropism and atypical lymphocytes.

The folowing reference in Dermatology Journal Online describes a case with these characteristics.



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