Folliculitis the student health center provider has diagnosed folliculitis. It has been reported in persons using hot tubs, whirlpools, saunas, swimming pools, waterslides and physiotherapy pools. Folliculitis may be treated with a topical steroid. Cases of overlap are described, and diagnostic criteria are not welldefined for. These pusfilled bumps may be pierced by an ingrown hair, can vary in size from 25 mm, and are often surrounded by a rim of pink to red, inflamed skin.
Pseudomonas folliculitis pseudomonas aeruginosa disease fact sheet series what is pseudomonas folliculitis. Extensive cutaneous involvement may warrant systemic therapy eg, cephalexin 250 to 500 mg orally 3 to 4 times a day for 10 days. Acquired perforating dermatosis in patients with chronic renal failure. Download fulltext pdf phrynoderma and perforating folliculitis due to vitamin a deficiency in a diabetic article pdf available in journal of the royal society of medicine 8. Acquired perforating dermatosis apd is a debilitating and itchy skin disease. Folliculitis can affect any part of the skin, including the chest. If the follicles are injured, they are more likely to become infected. The earliest lesions, follicular pustules, evolved into perforating. In perforating folliculitis, it is the content of the follicle, with or without collagen or elastic fibers, that gets eliminated. It is the defined and consistently applied policy of the department of veterans affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in. Free digital perforation gauge, measurement and centering tool by dave parsons as most of us get older, our eyesight and hand steadiness is not what it used to be.
Symptoms of folliculitis may include the following. Folliculitis is an infection of the hair follicles, in more severe cases permanent hair loss and scarring has been noted. Alternatively, benzoyl peroxide 5% wash may be used when showering for 5 to 7 days. Folliculitis a term many australians are familiar with. Folliculitis polaroid is a tainting in the hair follicles. Perforating folliculitis jama dermatology jama network. Folliculitis is an inflammation of the hair follicle, a structure composed of cells designed to produce hair causes of folliculitis include bacteria, fungi parasites, chemicals, and drugs. Folliculitis may also be caused by trauma of hair follicles by waxing or hairremoval creams. A case of successful treatment using cisretinoic acid has been reported. The differential diagnosis includes prurigo nodularis, folliculitis, arthropod bites, multiple keratoacanthomas, psoriasis and lichen planus. It has been suggested that perforation of the epithelium is the primary event and that it is not a primary. Folliculitis is an inflammation of the hair follicles and surrounding tissue. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters.
The combination of our specially designed online tool and our reference book offers alternative solutions for skin problems that. Who gets folliculitis barbae and pseudofolliculitis barbae. Degenerate collagen and elastic tissue are entering the perforated follicle. Follicular lymphoma grade i, extrnod and solid organ sites. Causes include bacterial, fungal, viral, and parasitic microorganisms.
Folliculitis is usually minor and goes away on its own without treatment. It is not well established as to how wide spread it is in patients on peritoneal dialysis pd and its implications in this population have not been well studied. Most of the skin is covered with tiny hairs which grow. Perforating lichen nitidus, journal of cutaneous pathology. Abstract perforating dermatoses, an often overlooked entity comprised of kyrles disease, perforating folliculitis, reactive perforating collagenosis, elastosis perforans serpiginosa. Perforating folliculitis is closely related, if not identical, to the acquired perforating dermatosis that occurs with chronic renal disease. Acquired perforating dermatosis in a patient on peritoneal. Free digital perforation gauge, measurement and centering tool. A 2004 study of 5 perforating folliculitis patients showed good clinical responses with narrowband uvb therapy. Pityrosporum folliculitis was first described in 1969 by weary et al 1 and noted to be an acneiform eruption associated with antibiotic use. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. Acquired perforating dermatosis statpearls ncbi bookshelf. David weedon ao md frcpa fcaphon, in weedons skin pathology third edition, 2010. Individual lesions of folliculitis include pusfilled bumps pustules centered on hair follicles.
Here we present a case of apd that developed in a patient on pd. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Perifolliculitis also often coincides with folliculitis of a variety of causes. Folliculitis that occurs on the face in puberty is called acne vulgaris. Perforating folliculitis pf picture 3ab acquired perforating dermatosis apd, which encompasses kyrle disease, acquired rpc, acquired pf, and acquired eps and is often associated with underlying chronic renal failure or diabetes mellitus picture 4ab and table 1. This is thought to be an isotopic response that describes the occurrence of a new skin disorder at the site of another lesion that has already healed and is unrelated to primary dermatosis. Apart from kd 2, the perforating dermatoses include elastosis perforans serpiginosa eps, perforating folliculitis pf, and acquired. While folliculitis can develop on any area of the body that grows hair, it most commonly appears on the chest, back, buttocks and. Perifolliculitis medical definition merriamwebster.
It appears as a rash or whiteheaded pimples or pustules near a hair follicle. Reactive perforating collagenosisperforating folliculitis. So its a bit harder to use perforation gauges or rulers. Sections show a suppurative folliculitis on low power examination figure 1. Follicles may get irrirated because of using a hot tub, whirlpool, or swimming pool that is not properly treated with chlorine, with substances like makeup, cocoa butter, motor oil, tar, and creosote. These findings were consistent with acquired perforating dermatosis. Treatment of acquired perforating dermatosis with narrowband. The main treatments are skin care and topical or oral antibiotics. Symptoms and signs include redness, swelling, and possible pustule formation around the hair follicles. Apd on the upper back before a and after b nbuvb phototherapy. Reactive perforating collagenosis rpc is a rare form of. Rpc, elastosis perforans serpiginosa eps, perforating folliculitis pf, and kyrle.
Perforating folliculitis is a skin condition in humans characterized by discrete follicular keratotic eruptions involving mainly the hairy parts of the extremities 539540 see also. Folliculitis may be caused by bacteria, yeast or another type of fungus. Prevalence of f olliculitis barbae and pseudofolliculitis barbae is higher among males of african ancestry than among caucasian men. Perforating disorders are characterized by transepidermal elimination of altered keratin or dermal connective tissue material. Kyrle disease hyperkeratosis follicularis et parafollicularis in cutem penetrans may simply represent an exaggerated form of perforating folliculitis. Primary perforating disorders including reactive perforating collagenosis, elastosis perforans serpiginosa, perforating folliculitis, and kyrles disease show clinical and histopathological overlap. Different and distinct histologic features at each stage were found.
Most commonly superficial and resulting from infection by use of antibacterial soaps may suffice as treatment for uncomplicated folliculitis, which is selflimited. Folliculitis is an inflammation of the hair follicles that results in red bumps that are often itchy andor painful and can become filled with pus. They are associated with improper shaving practices and are more common when a blade razor is used rather than an electric shaver. The evolution of perforating folliculitis in six patients with chronic renal failure was investigated with special attention to clinical and histopathologic changes in early, evolving, and mature lesions. Folliculitis is usually asymptomatic, benign and self limiting condition. The follicular epithelium shows single or multiple areas of perforation into the corium. You can have folliculitis on any part of your physique that has hair.
Finally, kyrle disease presents with transepidermal elimination of abnormal keratin. Apd, according to clinical and histological criteria. Cutaneous perforating disorders include the following acquired perforating dermatosis acquired perforating collagenosis. It is an infection of the hair follicle thought to be caused by the common cutaneous yeast, malassezia furfur pityrosporum ovale and possibly other strains of malassezia. Follicles can be damaged from repeated friction such as rubbing of too tight clothes or a blockage of the. There are characteristic types of folliculitis that occur in certain parts of the body. The rash may appear as pimples that come to white tips on the face, chest, back, arms, legs, buttocks, or head. Acquired perforating dermatosis classically presents with severely pruritic follicular hyperkeratotic papules, sometimes umbilicated, on the hairbearing limbs of adults, as in our patient. Legs that have been shaved socalled pseudofolliculitis. At the same time it is generally normal on the face and scalp and ranges.
Symptoms and signs of superficial folliculitis include groups of small red bumps that develop around hair follicles. Folliculitis is an inflammation of one or more hair follicles. Perforating folliculitis definition of perforating. Every hair on your physique develops out of a minor pocket called a follicle. Folliculitis is a clinical diagnosis so diagnosis is usually based on history and physical examination. Follicular lymphoma grade 1, extranodal and solid orga. The evolution of perforating folliculitis in patients with. Malassezia folliculitis dermatology online journal. Download fulltext pdf download fulltext pdf a clinicopathologic study of thirty cases of acquired perforating dermatosis in korea article pdf available in annals of dermatology 262. One solution to this issue and a solution when exact measures are needed, is the digital option. Its diagnosis is based on biopsy and the treatment is not very clear. Pdf a 46yearold man presented with a pruritic diffuse eruption on his thighs. Deeper infection and inflammation of hair follicles from. Folliculitis barbae and pseudofolliculitis barbae dermnet nz.
Acquired perforating disorders represent a group of separately identified cutaneous disorders that occur most often. It can occur anywhere on the body, but typically affects hairy areas, such as the neck or groin. In a prospective study of 51 hivpositive patients with pruritic folliculitis, histopathologic examination revealed evidence for ef in 23 45 percent, bacterial folliculitis in 21. Folliculitis caused by malassezia spp in our climate poland is fairly rare disease. Folliculitis is a common skin condition that appears as numerous small red or pick bumps at hair follicles. Kyrle disease and acquired perforating collagenosis secondary to. Pdf perforating disorders of the skin researchgate. The condition may occur anywhere on the skin except the palms of the hands and soles of the feet. Folliculitis causes and treatment skin care and health.
Pdf phrynoderma and perforating folliculitis due to. Perforating folliculitis presents with multiple follicular papules on the extremities and buttocks. Histologically each lesion represents a dilated hair follicle plugged with keratinous material and masses of necrotic crust. If you have skin irritation thats accompanied by a fever, spreading rash, or pusfilled and smelly bumps, seek medical. About us this site was created to provide information for patients who suffer from folliculitis and related skin conditions, such as pseudofolliculitis. For this eruption, we propose the name of perforating folliculitis. These disorders include perforating folliculitis as shown below, kyrle disease, elastosis perforans serpiginosa, reactive perforating collagenosis, and acquired perforating dermatosis. Perforating folliculitis an overview sciencedirect topics. Folliculitis is the infection and inflammation of one or more hair follicles.
Reactive perforating collagenosis also occurs during childhood with the expulsion of collagen fibers. Occasionally, a folliculitis lesion can erupt to form a scab on the surface of the skin. Perforating lichen nitidus perforating lichen nitidus bardach, h. These hairbearing areas are are subject to friction, heat andor sweat. He complained of incr eased itching and burning sensation after application of soap, aftershave lotion and perfume. Redness, swelling, and pustule formation centered around the hair follicle opening commonly occur with folliculitis sometimes folliculitis is due to an autoinflammatory process and not produced by. Perifolliculitis is not specific for any category of disease but is an initial event in the development of folliculitis. It is well described to cause an itchy eruption in chronic renal failure patients on dialysis histology of perforating folliculitis. Pseudomonas folliculitis is an inflammation of the hair follicles caused by infection with the bacteria p. Figure1 download figure open in new tab download powerpoint.