Infundibulum folliculitis, disseminated recurrentL73.8

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 23.01.2024

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Synonym(s)

Disseminate and recurrent infundibulo-folliculitis

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HistoryThis section has been translated automatically.

Hitch and Lund, 1968

DefinitionThis section has been translated automatically.

Disease with almost generalized occurrence of follicular, papular eruptions. The independence of this clinical picture is still disputed.

ManifestationThis section has been translated automatically.

Predominantly occurring in young adults, more frequently in men than in women. People with dark skin color are preferentially affected.

LocalizationThis section has been translated automatically.

Mainly stem, also extremities and face.

Clinical featuresThis section has been translated automatically.

Over months or years recurrent, strictly follicularly bound, pinhead-sized papules. Goose-pimple aspect. No hair growth disorders.

HistologyThis section has been translated automatically.

Periinfundibular, lymphoid cell infiltrates; occasionally intrainfundibular hyperkeratosis

Differential diagnosisThis section has been translated automatically.

Mucinosis follicularis; keratosis follicularis; pityriasis rubra pilaris.

TherapyThis section has been translated automatically.

The disease is difficult to influence therapeutically. Antibiotics, glucocorticoids and antihistamines internally and externally do not bring any improvement. Oral retinoids are sometimes reported to be positive. Since the disease tends to heal spontaneously within months to years, a wait-and-see attitude is recommended at least in mild cases. Recurrences are frequent.

Radiation therapyThis section has been translated automatically.

Therapy successes with PUVA therapy are described casuistically.

LiteratureThis section has been translated automatically.

  1. Calka O et al (2002) A case of disseminated and recurrent infundibulofolliculitis responsive to treatment with systemic isotretinoin. J Dermatol 29: 431-434
  2. Carzuszaa F et al (1991) What is your diagnosis? Hitch-Lund recurrent disseminates infundibulo-folliculitis. Ann Dermatol Venerol 188: 135-136
  3. Heymann WR (2002) Infundibulofolliculitis of the neck. Cutis 70: 178-180
  4. Hitch JM, Lund HZ (1968) Disseminate and recurrent infundibulo-folliculitis: report of a case. Arch Dermatol 97: 432-435
  5. Karg E et al (1986) Infundibulum folliculitis disseminata recidivans. Dermatologist 37: 156-158
  6. Ravikumar BC et al (1999) Disseminate and recurrent infundibulofolliculitis: response to psoralen plus UVA therapy. Int J Dermatol 38: 75-76

Authors

Last updated on: 23.01.2024

Author: Prof. Dr. med. Peter Altmeyer