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Considerable loss of information on skin cancer occurrence and non‐adherence to clinical practice guideline in renal transplant recipients

the adult form seems to show a higher incidence in females (remarkably, four of our five patients were female). It seems to be associated with diabetes mellitus and plaque-type psoriasis, especially of the scalp (the same as patient 1 and 3 in our series), and its occurrence seems higher among darkskinned patients. Notably none of the previously reported cases had concurrent palmo-pustular psoriasis, as is the case in our patient 4. Furthermore, a very recent case report described a 13-year-old boy with severe erythroderma due to follicular psoriasis associated with nail and joint involvement. In summary, follicular psoriasis is an under-recognized condition that might develop alone or in association with other variants of psoriasis. Based on our observations, it could be hypothesized that follicular psoriasis might be regarded in some patients as an initial phase of the disorder and might eventually develop into classic psoriasis later on. On the opposite, it could also appear after years in other patients affected by different subtypes of psoriasis. This could also explain why follicular psoriasis is generally under-reported. More case reports and longterm follow-up are needed to clarify the clinical spectrum and the course of this unusual variant of psoriasis.