Children with this rare disorder develop repeated crops of pruritic erythematous papules, yellow or white pustules, which vary in size from 1 to 3 mm. Most lesions are located on the scalp and distal extremities. Tzanck smear may reveal numerous eosinophils, and there may also be a peripheral eosinophilia when flaring. Eosinophilic pustular folliculitis is associated with no systemic symptoms and eventually resolves spontaneously. Therapy with topical steroids is somewhat beneficial.