Folliculitis is usually minor and goes away on its own without treatment. Reactive perforating collagenosisperforating folliculitis. Rpc, elastosis perforans serpiginosa eps, perforating folliculitis pf, and kyrle. Degenerate collagen and elastic tissue are entering the perforated follicle. Perifolliculitis is not specific for any category of disease but is an initial event in the development of folliculitis. The evolution of perforating folliculitis in patients with. Perifolliculitis also often coincides with folliculitis of a variety of causes. The earliest lesions, follicular pustules, evolved into perforating. Treatment of acquired perforating dermatosis with narrowband. Folliculitis is a clinical diagnosis so diagnosis is usually based on history and physical examination. The rash may appear as pimples that come to white tips on the face, chest, back, arms, legs, buttocks, or head.
The main treatments are skin care and topical or oral antibiotics. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. He complained of incr eased itching and burning sensation after application of soap, aftershave lotion and perfume. Folliculitis may be treated with a topical steroid. If you have skin irritation thats accompanied by a fever, spreading rash, or pusfilled and smelly bumps, seek medical. You can have folliculitis on any part of your physique that has hair. Most of the skin is covered with tiny hairs which grow. Figure1 download figure open in new tab download powerpoint. Apart from kd 2, the perforating dermatoses include elastosis perforans serpiginosa eps, perforating folliculitis pf, and acquired. Perifolliculitis medical definition merriamwebster. It is well described to cause an itchy eruption in chronic renal failure patients on dialysis histology of perforating folliculitis. Perforating disorders of the skin, is an often overlooked entity characterized by transepidermal elimination of material from the upper dermis and are classified. Pdf a 46yearold man presented with a pruritic diffuse eruption on his thighs.
Pseudomonas folliculitis pseudomonas aeruginosa disease fact sheet series what is pseudomonas folliculitis. 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. 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. Click export csv or ris to download the entire page or use the checkboxes to select a subset of records to download. These disorders include perforating folliculitis as shown below, kyrle disease, elastosis perforans serpiginosa, reactive perforating collagenosis, and acquired perforating dermatosis.
Folliculitis the student health center provider has diagnosed folliculitis. Folliculitis is an infection of the hair follicles, in more severe cases permanent hair loss and scarring has been noted. Acquired perforating dermatosis statpearls ncbi bookshelf. It has been suggested that perforation of the epithelium is the primary event and that it is not a primary.
Free digital perforation gauge, measurement and centering tool. It has been reported in persons using hot tubs, whirlpools, saunas, swimming pools, waterslides and physiotherapy pools. Perforating folliculitis is closely related, if not identical, to the acquired perforating dermatosis that occurs with chronic renal disease. 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. Folliculitis caused by malassezia spp in our climate poland is fairly rare disease. Pityrosporum folliculitis was first described in 1969 by weary et al 1 and noted to be an acneiform eruption associated with antibiotic use. Its diagnosis is based on biopsy and the treatment is not very clear. Causes include bacterial, fungal, viral, and parasitic microorganisms. Finally, kyrle disease presents with transepidermal elimination of abnormal keratin. About us this site was created to provide information for patients who suffer from folliculitis and related skin conditions, such as pseudofolliculitis. The differential diagnosis includes prurigo nodularis, folliculitis, arthropod bites, multiple keratoacanthomas, psoriasis and lichen planus.
Folliculitis may also be caused by trauma of hair follicles by waxing or hairremoval creams. Extensive cutaneous involvement may warrant systemic therapy eg, cephalexin 250 to 500 mg orally 3 to 4 times a day for 10 days. One solution to this issue and a solution when exact measures are needed, is the digital option. Folliculitis is an inflammation of one or more hair follicles. Folliculitis may be caused by bacteria, yeast or another type of fungus. Malassezia folliculitis dermatology online journal. Folliculitis is the infection and inflammation of one or more hair follicles. 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.
The follicular epithelium shows single or multiple areas of perforation into the corium. Pdf perforating disorders of the skin researchgate. Folliculitis is an inflammation of the hair follicles and surrounding tissue. Apd, according to clinical and histological criteria. Deeper infection and inflammation of hair follicles from. The condition may occur anywhere on the skin except the palms of the hands and soles of the feet. Legs that have been shaved socalled pseudofolliculitis. Kyrle disease hyperkeratosis follicularis et parafollicularis in cutem penetrans may simply represent an exaggerated form of perforating folliculitis.
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. 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. Perforating folliculitis jama dermatology jama network. Different and distinct histologic features at each stage were found. These hairbearing areas are are subject to friction, heat andor sweat. Acquired perforating dermatosis classically presents with severely pruritic follicular hyperkeratotic papules, sometimes umbilicated, on the hairbearing limbs of adults, as in our patient. 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.
Abstract perforating dermatoses, an often overlooked entity comprised of kyrles disease, perforating folliculitis, reactive perforating collagenosis, elastosis perforans serpiginosa. This pdf is available for free download from a site hosted by medknow publications. Folliculitis can affect any part of the skin, including the chest. After perforation of the dilated infundibula, large dermal and subcutaneous abscesses are formed. Who gets folliculitis barbae and pseudofolliculitis barbae. The features of perforating folliculitis associated with renal failure see p. Perforating folliculitis presents with multiple follicular papules on the extremities and buttocks. 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. Symptoms and signs include redness, swelling, and possible pustule formation around the hair follicles. At the same time it is generally normal on the face and scalp and ranges. Reactive perforating collagenosis rpc is a rare form of. Folliculitis means an inflammation or infection of the hair follicles of the skin. Individual lesions of folliculitis include pusfilled bumps pustules centered on hair follicles. Pseudomonas folliculitis is an inflammation of the hair follicles caused by infection with the bacteria p.
David weedon ao md frcpa fcaphon, in weedons skin pathology third edition, 2010. Perforating folliculitis an overview sciencedirect topics. The combination of our specially designed online tool and our reference book offers alternative solutions for skin problems that. Most commonly superficial and resulting from infection by use of antibacterial soaps may suffice as treatment for uncomplicated folliculitis, which is selflimited. 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. Acquired perforating dermatosis in patients with chronic renal failure. If the follicles are injured, they are more likely to become infected. Perforating lichen nitidus perforating lichen nitidus bardach, h. These findings were consistent with acquired perforating dermatosis. Here we present a case of apd that developed in a patient on pd. Occasionally, a folliculitis lesion can erupt to form a scab on the surface of the skin. Every hair on your physique develops out of a minor pocket called a follicle. Acquired perforating disorders represent a group of separately identified cutaneous disorders that occur most often.
Follicular lymphoma grade 1, extranodal and solid orga. 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. Perforating folliculitis definition of perforating. Follicles can be damaged from repeated friction such as rubbing of too tight clothes or a blockage of the. Folliculitis barbae and pseudofolliculitis barbae dermnet nz. Folliculitis causes and treatment skin care and health. Folliculitis is usually asymptomatic, benign and self limiting condition. Erythema and pustule occur at the hair follicle fig. How to get rid of folliculitis, symptoms, causes, home. Symptoms of folliculitis may include the following. It can occur anywhere on the body, but typically affects hairy areas, such as the neck or groin.
For this eruption, we propose the name of perforating folliculitis. So its a bit harder to use perforation gauges or rulers. Folliculitis polaroid is a tainting in the hair follicles. Folliculitis is a common skin condition that appears as numerous small red or pick bumps at hair follicles.
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. Alternatively, benzoyl peroxide 5% wash may be used when showering for 5 to 7 days. 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. A 2004 study of 5 perforating folliculitis patients showed good clinical responses with narrowband uvb therapy. Apd on the upper back before a and after b nbuvb phototherapy. Acquired perforating dermatosis in a patient on peritoneal.
Perforating disorders are characterized by transepidermal elimination of altered keratin or dermal connective tissue material. 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. Started in 1995, this collection now contains 6767 interlinked topic pages divided into a tree of 31 specialty books and 732 chapters. In perforating folliculitis, it is the content of the follicle, with or without collagen or elastic fibers, that gets eliminated. Prevalence of f olliculitis barbae and pseudofolliculitis barbae is higher among males of african ancestry than among caucasian men. Pdf phrynoderma and perforating folliculitis due to. 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 a term many australians are familiar with. While folliculitis can develop on any area of the body that grows hair, it most commonly appears on the chest, back, buttocks and. Acquired perforating dermatosis apd is a debilitating and itchy skin disease. Reactive perforating collagenosis also occurs during childhood with the expulsion of collagen fibers. Symptoms and signs of superficial folliculitis include groups of small red bumps that develop around hair follicles. Cutaneous perforating disorders include the following acquired perforating dermatosis acquired perforating collagenosis. Primary perforating disorders including reactive perforating collagenosis, elastosis perforans serpiginosa, perforating folliculitis, and kyrles disease show clinical and histopathological overlap.
Follicular lymphoma grade i, extrnod and solid organ sites. 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. Perforating lichen nitidus, journal of cutaneous pathology. There are characteristic types of folliculitis that occur in certain parts of the body. A case of successful treatment using cisretinoic acid has been reported. They are associated with improper shaving practices and are more common when a blade razor is used rather than an electric shaver. Kyrle disease and acquired perforating collagenosis secondary to.