Folliculitis
Background
- Inflammation of the hair follicle
- Secondary to infection, trauma, or occlusion [1]
Clinical Features
Folliculitis
- Papules and pustules on an erythematous base
- Located around a hair follicle
- Pruritus or mild discomfort
Differential Diagnosis
Skin and Soft Tissue Infection
- Cellulitis
- Erysipelas
- Lymphangitis
- Folliculitis
- Abscess
- Necrotizing soft tissue infections
- Necrotizing fasciitis
- Necrotizing myositis
- Necrotizing cellulitis
- Fournier's gangrene
- Mycobacterium marinum
Vesiculobullous rashes
Febrile
- Diffuse distribution
- Localized distribution
Afebrile
- Diffuse distribution
- Bullous pemphigoid
- Drug-Induced bullous disorders
- Pemphigus vulgaris
- Phytophotodermatitis
- Erythema multiforme major
- Bullous impetigo
- Localized distribution
- Contact dermatitis
- Herpes zoster
- Dyshidrotic eczema
- Burn
- Dermatitis herpetiformis
- Erythema multiforme minor
- Poison Oak, Ivy, Sumac dermatitis
- Bullosis diabeticorum
- Bullous impetigo
- Folliculitis
Evaluation
- Clinical diagnosis
Management
- Superficial folliculitis
- Antibacterial soaps, good hygiene
- Warm compress
- Deep folliculitis
- Incision and drainage
- Antibiotics covering MRSA [2]
Disposition
- Discharge
- Outpatient management
References
- Satter, E. Folliculitis. Medscape. https://emedicine.medscape.com/article/1070456-overview
- Satter, E. Folliculitis. Medscape. https://emedicine.medscape.com/article/1070456-overview
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