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Eosinophilic pustule smear in the diagnosis of pediatric post-transplant eosinophilic folliculitis
Authors:Lauren Pupa BA  Melissa M Blessing DO  Raegan Hunt MD  PhD
Institution:1. Baylor College of Medicine, Houston, Texas, USA;2. Baylor College of Medicine, Houston, Texas, USA

Department of Pathology, Texas Children's Hospital, Houston, Texas, USA;3. Baylor College of Medicine, Houston, Texas, USA

Department of Dermatology and Pediatrics, Texas Children's Hospital, Houston, Texas, USA

Abstract:Hematologic-associated eosinophilic pustular folliculitis is a subtype of eosinophilic pustular folliculitis (EPF) which develops in patients with underlying hematological malignancies after treatment with chemotherapy, bone marrow transplant (BMT), or stem cell transplant (SCT). Few cases of hematological-associated EPF have been reported in pediatric patients. Skin biopsy is considered the gold standard for diagnosis. We describe a case in which Wright staining of a pustule smear for eosinophils provided data to rapidly support a clinical diagnosis of hematologic-associated EPF.
Keywords:acute lymphocytic leukemia  eosinophilic folliculitis  hematological-associated  histopathological  stem cell transplant
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