Eosinophilic Pustular Folliculitis in the Setting of Untreated Chronic Lymphocytic Leukemia

To the Editor: Eosinophilic pustular folliculitis (EPF) is a noninfectious dermatosis that typically manifests as recurrent follicular papulopustules that generally affect the face and occasionally the trunk and arms.There are several subtypes of EPF: classic EPF (Ofuji disease), infancy-associated EPF, and immunosuppression-associated EPF. 1,2][5] A 69-year-old woman presented with diffusely scattered, pruritic, erythematous, erosive lesions on the back, arms, legs, and forehead (Figure 1) of 4 months' duration, as well as an ulcerative lesion on the left third toe due to a suspected insect bite.She had a history of untreated CLL that was diagnosed 2 years prior.The patient was empirically started on clindamycin for presumed infection of the