Folliculitis
Background
- Inflammation of the hair follicle
- Secondary to infection, trauma, or occlusion [1]
Clinical Features
- 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
- Hidradenitis suppurativa
- Skin abscess
- Necrotizing soft tissue infections
- Mycobacterium marinum
Look-A-Likes
- Sporotrichosis
- Osteomyelitis
- Deep venous thrombosis
- Pyomyositis
- Purple glove syndrome
- Tuberculosis (tuberculous inflammation of the skin)
Vesiculobullous rashes
Febrile
- Diffuse distribution
- Varicella (chickenpox)
- Smallpox
- Monkeypox
- Disseminated gonococcal disease
- DIC
- Purpural fulminans
- 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 (shingles)
- 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