Expanding the histologic findings in smallpox-related post-vaccinial non-viral folliculitis.

Abstract:

:Post-vaccinial non-viral folliculitis has been recognized in the past decade as a new adverse cutaneous reaction to smallpox vaccination. Contrary to more serious smallpox vaccine reactions, post-vaccinial non-viral folliculitis has a benign course and resolves spontaneously within approximately 7 days. We describe additional histopathologic findings associated with post-vaccinial non-viral folliculitis, which has only been described once previously. New findings include the presence of a neutrophilic or lymphohistiocytic infiltrate that is concentrated around the hair follicles. We compare our findings to the follicular nature of varicella and herpes zoster infections, generating the hypothesis of deposition of vaccinia protein within folliculosebaceous units as a potential pathophysiologic mechanism behind post-vaccinial non-viral folliculitis.

journal_name

J Cutan Pathol

authors

Bunick CG,Mariwalla K,Ibrahim O,Modi B,Imaeda S,McNiff JM

doi

10.1111/cup.12064

subject

Has Abstract

pub_date

2013-03-01 00:00:00

pages

305-9

issue

3

eissn

0303-6987

issn

1600-0560

journal_volume

40

pub_type

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