Trichodysplasia Spinulosa in a 7-Year-Old Boy Managed Using Physical Extraction of Keratin Spicules

Michael Barton, Suing Lockhart, Robert Sidbury, Richard Wang, Heather Brandling-Bennett

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

Trichodysplasia spinulosa (TS) is an uncommon skin disease characterized by a folliculocentric papular eruption and keratin spine formation, classically appearing on the central face and ears. It occurs in immunosuppressed patients and is linked to a viral etiology. Diagnostic tests including polymerase chain reaction (PCR) are available for detection of the TS-associated polyomavirus. Effective treatment options include topical cidofovir and oral valganciclovir. We present a case diagnosed using PCR with skin scrapings and treated using physical extraction of the keratin spicules. Significant improvement was noted, suggesting a safe, cost-effective treatment alternative.

Original languageEnglish (US)
Pages (from-to)e74-e76
JournalPediatric dermatology
Volume34
Issue number2
DOIs
StatePublished - Mar 1 2017

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Dermatology

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