DefinitionThis section has been translated automatically.
PathogenThis section has been translated automatically.
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ManifestationThis section has been translated automatically.
Clinical featuresThis section has been translated automatically.
Itchy or moderately painful, 0.5-5.0 cm large, usually well defined, cushion-like raised, purulent, highly red inflammatory plaques or nodules. The inflammatory nodules are often interspersed with follicular pustules. A confluence of pustules is rarer. Pus can be emptied under pressure. Hairs are missing in the lesion or exist only sparsely. Hairs that still exist can be easily and usually painlessly extracted (preparation of a native preparation for fungal detection).
DiagnosisThis section has been translated automatically.
Differential diagnosisThis section has been translated automatically.
- Alopecia areata: No itching, no signs of inflammation, no scaling of the surface.
- Boils: Highly painful, acute; originating from a follicle; no multiple pustules on the surface, clearly fluctuating.
- Folliculitis decalvans: Eminently chronic course of the disease, usually over years; scarred alopecia. Highly red skin lesions with mostly atrophic shiny centre. Peripheral follicular papules, later pustular transformation and crust formation. Irregularly shaped scar foci with small spots of irreversible hair loss result. Formation of tuft hairs.
- Folliculitis sclerotisans nuchae: occurring almost exclusively in coloured men; usually localised in the neck. Hard, dark red, semi-spherical, shiny nodules of varying size, pierced by terminal or vellus hairs, which may confluent. Further bulging, sclerotic hardening of the skin in between.
External therapyThis section has been translated automatically.
As a first step, a local shave is recommended as well as a consistent local treatment with griseofulvin cream(e.g. Gricin) or topical broad-spectrum antifungals such as amorolfin cream(Loceryl), ketoconazole cream(e.g.Nizoral), terbinafine cream(e.g. Lamisil), Ciclopirox ointment(e.g. Batrafen), Clotrimazole ointment(e.g. Canesten) or bifonazole cream(e.g. Mycospor). The externals should be applied to the inflammatory lesion as thick as the back of a knife. Then cover with a gauze compress and fix with a tubular bandage. The dressing is changed daily (if necessary 2 times/day). The ointment residues can be carefully absorbed with olive oil. Hair washing with a mild syndet (e.g. Dermowas) is possible.
Internal therapyThis section has been translated automatically.
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LiteratureThis section has been translated automatically.
- Nenoff P et al (2014) Mycology - An Update Part 2: Dermatomycoses: Clinical picture and diagnostics. YYG 12: 749-778
Incoming links (10)Acne keloidalis nuchae; Boils; Celsus kerion; Herxheimer reaction; Kerion celsi; Tinea capitis (overview); Trichophytia capillitii; Trichophytia profunda; Trichophyton mentagrophytes; Trichophyton verrucosum;
Outgoing links (16)Acne keloidalis nuchae; Alopecia areata (overview); Amorolfin; Antimycotics; Bifonazole; Boils; Ciclopirox; Clotrimazole; Dermatophytes; Folliculitis decalvans; ... Show all
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