Folliculitis profunda (overview) L01.0

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Acute, rarely chronic, painful, red and overheated lump of skin attached to a hair follicle, which is halo-like surrounded by a collateral erythema.

Classification
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Folliculitis profunda:

Etiopathogenesis
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Deeper penetration of staphylococci into hair follicles.

Localization
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Predilection sites are regions of the face, neck, axillae, buttocks and thighs (usually on the extensor side) that are rich in sebaceous glands.

Clinical features
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Red, flat, mostly cone-shaped, but usually pointed and smooth papules ("pimples") that develop within hours, initially only slightly painful, but increasingly so over time. As the inflammation progresses with melting perifolliculitis, a highly painful red lump(boil) develops with a central, initially yellowish-purulent tip and subsequent black crust, with perilesional redness and swelling. At this stage, painful lymphadenitis begins, possibly with visible lymphangitis. Accompanying fever possible.

External therapy
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Internal therapy
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In cases of pronounced folliculitis, an internal therapy with penicillinase-resistant penicillins such as Dicloxacillin (e.g. InfectoStaph) can be considered. Adults 4 times/day 0.5-1 g p.o., 1 hour before meals, children 50-100 mg/kg bw/day p.o. divided over 4 ED.

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020