Folliculitis


Folliculitis
Folliculitis
Classification and external resources
ICD-10 L73.9 (ILDS L73.91)
ICD-9 704.8
DiseasesDB 31367
MedlinePlus 000823
eMedicine derm/159
MeSH D005499

Folliculitis is the inflammation of one or more hair follicles. The condition may occur anywhere on the skin with the exception of the palms of the hands and soles of the feet.

Contents

Causes

Most carbuncles, furuncles, and other cases of folliculitis develop from Staphylococcus aureus and Pseudomonas aeruginosa.

Folliculitis starts when hair follicles are damaged by friction from clothing, an insect bite,[citation needed] blockage of the follicle, shaving, or braids too tight and too close to the scalp. In most cases of folliculitis, the damaged follicles are then infected with the bacterium Staphylococcus.

Iron deficiency anemia is sometimes associated with chronic cases.

Fungal

Bacterial

  • Hot tub folliculitis is caused by the bacterium Pseudomonas aeruginosa.[1] The folliculitis usually occurs after sitting in a hot tub that was not properly cleaned before use. Symptoms are found around the body parts that sit in the hot tub—typically the legs, hips, and buttocks and surrounding areas. Symptoms are typically amplified around regions that were covered by wet clothing, such as bathing suits.
  • Sycosis vulgaris, Sycosis barbae or Barber's itch is a staphylococcus infection of the hair follicles in the bearded area of the face, usually the upper lip. Shaving aggravates the condition.
  • Gram-negative folliculitis may appear after prolonged acne treatment with antibiotics.[2]

Viral

  • Herpetic folliculitis may occur when Herpes Simplex Virus infection spreads to nearby hair follicles - mostly around the mouth.

Non-infectious

  • Pseudofolliculitis barbae is a disorder occurring when hair curves back into the skin and causes inflammation.
  • Eosinophilic folliculitis may appear in persons with impaired immune systems.
  • Folliculitis decalvans or tufted folliculitis usually affects scalp. Several hairs arise from the same hair follicle. Scarring and permanent hair loss may follow. The cause is unknown.
  • Folliculitis keloidalis scarring on the nape of the neck, most common among males of curly hair.
  • Oil folliculitis is inflammation of hair follicles due to exposure to various oils and typically occurs on forearms or thighs. It is common in refinery workers, road workers, mechanics, sheep shearers. Even makeup may cause it.
  • Malignancy may also be represented by recalcitrant cases.[3]

Symptoms

  • rash (reddened skin area)
  • pimples or pustules located around a hair follicle
    • may crust over
    • typically occur on neck, armpit, or groin area
    • may be present as genital lesions
  • itching skin
  • spreading from leg to arm to body through improper treatment of antibiotics

Treatment

  1. Topical antiseptic treatment is adequate for most cases
  2. Topical antibiotics such as mupirocin or neomycin containing ointment
  3. Some patients may benefit from systemic narrow-spectrum penicillinase-resistant penicillins (such as dicloxacillin in US, or flucloxacillin in UK)
  4. Fungal folliculitis can worsen with antibiotics and may require an oral antifungal such as Fluconazole. Topical antifungals such as Econazole Nitrate may also be effective.

See also

References

  1. ^ MedlinePlus Encyclopedia Hot tub folliculitis
  2. ^ "Severe Acne: 4 types". American Academy of Dermatology. Archived from the original on December 15, 2010. http://www.webcitation.org/5v07qRcEr. Retrieved December 15, 2010. 
  3. ^ Folliculitis, follicular mucinosis, and papular mucinosis as a presentation of chronic myelomonocytic leukemia. Rashid R, Hymes S. Dermatol Online J. 2009 May 15;15(5):16.

External links


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Look at other dictionaries:

  • Folliculitis — vgl. Follikulitis …   Das Wörterbuch medizinischer Fachausdrücke

  • folliculitis — An inflammatory reaction in hair follicles; the lesions may be papules or pustules. f. abscedens et suffodiens a chronic progressive pustular f. in the scalp. f. barbae SYN: tinea barbae. f. decalvans a papular or pustular …   Medical dictionary

  • Folliculitis — Klassifikation nach ICD 10 L73. Sonstige Krankheiten der Haarfollikel …   Deutsch Wikipedia

  • folliculitis — n. inflammation of hair follicles in the skin, commonly caused by infection. Folliculitis caused by Pityrosporum yeasts may be a marker for the diagnosis of AIDS …   The new mediacal dictionary

  • folliculitis — noun Etymology: New Latin, from folliculus + itis Date: circa 1860 inflammation of one or more follicles especially of the hair …   New Collegiate Dictionary

  • folliculitis — /feuh lik yeuh luy tis/, n. Pathol. inflammation of hair follicles. [1855 60; < L follicul(us) (see FOLLICLE) + ITIS] * * * …   Universalium

  • folliculitis — noun Inflammation of one or more hair follicles …   Wiktionary

  • Folliculitis — Fol|li|cu|li|tis 〈f.; Gen.: , Pl.: ti|den; Med.〉 = Follikulitis …   Lexikalische Deutsches Wörterbuch

  • folliculitis — n. inflammation of the hair follicles …   English contemporary dictionary

  • folliculitis — [fəˌlɪkjʊ lʌɪtɪs] noun Medicine inflammation of the hair follicles …   English new terms dictionary


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