Follicular eczema and accentuation: A survey of published data

Abstract

To the Editor: Follicular eczema or follicular atopic dermatitis presents with a predominant pattern of very pruritic follicular accentuation, usually over the chest, back, abdomen, and flanks (Fig 1). Distinguished from follicular keratosis by spongiotic dermatitis of the follicle, the differential diagnosis of follicular dermatitis also includes allergic contact dermatitis, follicular mucinosis, infundibulofolliculitis, and drug reactions. Clinically, follicular eczema has been reported to be poorly responsive to low-potency topical corticosteroids.