FOLLICULAR MUCINOSIS PRESENTING AS AN ACNEIFORM ERUPTION - REPORT OF 4 CASES

Follicular mucinosis can be a primary idiopathic disease or a secondar y disease associated with lymphoma. When it appears in childhood or ad olescence, it is usually primary and self-limited. We describe four ca ses of follicular mucinosis occurring in early adulthood that have had protracted courses. Each presented as an unusual acneiform eruption. Two of the cases demonstrated a clonal genetic rearrangement of the T- cell receptor within the cutaneous lymphoid infiltrate, a finding not previously reported. Although its significance is not clear, the clona l lymphocytic expansion indicates a need for continued surveillance of these patients.