Folliculitis barbae L73.8

Author: Prof. Dr. med. Peter Altmeyer

Last updated on: 29.10.2020

Synonym(s)

Alibert Mentagra Disease; Folliculitis; Folliculitis barbae; folliculitis of the beard area; folliculitis of the beard region; Folliculitis simplex barbae; Infection of the whiskers; sycosis non parasitaria; sycosis simplex; whisker inflammation; Whisker inflammation

History
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Alibert, 1825

Definition
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Frequent, bearded, bacterially induced, acute or chronic superficial folliculitis.

S.a. Impetigo Bockhart (superficial folliculitis).

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Dermatology

Artifacts

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Pathogen
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staphylococcus aureus

Etiopathogenesis
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Infection with Staphylococcus aureus, spread of the pathogen by shaving.

Manifestation
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Men ; Age: 20-60 years

Localization
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Beard area on chin, lips and cheeks.

Clinical features
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Succulent follicular and also extensive, deep red erythema and red plaques with numerous disseminated or grouped inflammatory follicular papules and pustules, but which may also confluent to larger bumpy beds or nodes Painfulness and burning, especially when shaving.

Follicular pyoderma can lead to irreversible (scarring) hair loss, so that differently configured alopecia foci can develop.

Differential diagnosis
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tinea barbae

Chronic follicular trichophytia: significantly more infiltration; mainly located on the lower legs.

folliculitis barbae candidamycetica

Gram-negative folliculitis

General therapy
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No shaving. After healing: Electric shave, alcoholic aftershave.

External therapy
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Solutions with antimicrobial additives such as quinolinol (e.g. Chinosol 1:1000) or R042, diluted potassium permanganate solution(light pink) or PVP iodine solution (e.g. R203, Betaisodona Lsg.). Erythromycin-containing external preparations are recommended, e.g. eryaknin (gel form 2-4%) or acne mycin (2% as solution or ointment).

Internal therapy
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Systemic antibiotics in case of resistance to therapy, rapid expansion and infestation of the profound follicular part.

Progression/forecast
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Chronic course with tendency to recur. Tendency towards eczematization(folliculitis eczematosa barbae).

Literature
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Alibert L (1825) Déscription des maladies de la peau. 2nd edition (Paris, elections) Vol 2: 214
Anliker D, Itin P (2003) Herpetic folliculitis barbae - A rare cause of folliculitis. dermatologist 54: 265-267
Eley CD, Gan VN (1997) Picture of the month. Folliculitis, furunculosis, and carbuncles. Arch Pediatric Adolesc Med 151: 625-626
Naysmith L et al (2001) Multigeminate beard hairs and folliculitis. Br J Dermatol 144: 427-428
Perry PK et al (2002) Defining pseudofolliculitis barbae in 2001: a review of the literature and current trends. J Am Acad Dermatol 46: S113-119
Wall D et al (2014) Infection of the Beard area. Kerion: a review of 2 cases. Ir Med J 107:219-221