Folliculitis - Folikulitis
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ReferencesFolliculitis je uobičajeno stanje kože u kojem se folikuli dlake infekciraju ili upale, što rezultira pojavom pustula ili crvenih kvržica na koži. Često je uzrokovan bakterijskom infekcijom folikula dlake, ali također može biti potaknut gljivicama, virusima ili neinfektivnim čimbenicima.
Folliculitis is a common, generally benign, skin condition in which the hair follicle becomes infected/inflamed and forms a pustule or erythematous papule of overlying hair-covered skin. Most commonly, folliculitis is caused by bacterial infection of the superficial or deep hair follicle. However, this condition may also be caused by fungal species, viruses and can even be noninfectious in nature.
Folliculitis is a common, generally benign, skin condition in which the hair follicle becomes infected/inflamed and forms a pustule or erythematous papule of overlying hair-covered skin. Most commonly, folliculitis is caused by bacterial infection of the superficial or deep hair follicle. However, this condition may also be caused by fungal species, viruses and can even be noninfectious in nature.
Malassezia (Pityrosporum) folliculitis je stanje kože koje izgleda poput akni, ali je zapravo uzrokovano gljivicama. Često se pogrešno smatra uobičajenim aknama. Iako je sličan aknama, uobičajeni tretmani za akne možda ga neće u potpunosti ukloniti i mogu trajati godinama. Ovo stanje nastaje kada određene gljivice u koži prekomjerno rastu. Čimbenici poput oslabljenog imunološkog sustava ili uzimanja antibiotika mogu pogoršati stanje. Obično se manifestira kao crvene kvržice ili prištići na prsima, leđima, rukama i licu. Oralni antifungalni lijekovi djeluju najefikasnije i mogu brzo ublažiti simptome. Ponekad je potrebno istodobno liječiti i gljivičnu infekciju i akne.
Malassezia (Pityrosporum) folliculitis is a fungal acneiform condition commonly misdiagnosed as acne vulgaris. Although often associated with common acne, this condition may persist for years without complete resolution with typical acne medications. Malassezia folliculitis results from overgrowth of yeast present in the normal cutaneous flora. Eruptions may be associated with conditions altering this flora, such as immunosuppression and antibiotic use. The most common presentation is monomorphic papules and pustules, often on the chest, back, posterior arms, and face. Oral antifungals are the most effective treatment and result in rapid improvement. The association with acne vulgaris may require combinations of both antifungal and acne medications.
Malassezia (Pityrosporum) folliculitis is a fungal acneiform condition commonly misdiagnosed as acne vulgaris. Although often associated with common acne, this condition may persist for years without complete resolution with typical acne medications. Malassezia folliculitis results from overgrowth of yeast present in the normal cutaneous flora. Eruptions may be associated with conditions altering this flora, such as immunosuppression and antibiotic use. The most common presentation is monomorphic papules and pustules, often on the chest, back, posterior arms, and face. Oral antifungals are the most effective treatment and result in rapid improvement. The association with acne vulgaris may require combinations of both antifungal and acne medications.
Ovaj članak predstavlja različite vrste folikulitisa koje je potrebno razlikovati od akni – superficial pustular folliculitis (SPF), folliculitis barbae i sycosis barbae, perifolliculitis capitis abscedens et suffodiens, folliculitis keloidalis nuchae, actinic folliculitis, eosinophilic pustular folliculitis (EPF), malassezia folliculitis i epidermal growth factor receptor (EGFR) inhibitor‑induced papulopustular eruption.
In this article, we introduce several special types of folliculitis which should be differentiated from acne, including superficial pustular folliculitis(SPF), folliculitis barbae and sycosis barbae, perifolliculitis capitis abscedens et suffodiens, folliculitis keloidalis nuchae, actinic folliculitis, eosinophilic pustular folliculitis (EPF), malassezia folliculitis and epidermal growth factor receptor(EGFR) inhibitor-induced papulopustular eruption.
In this article, we introduce several special types of folliculitis which should be differentiated from acne, including superficial pustular folliculitis(SPF), folliculitis barbae and sycosis barbae, perifolliculitis capitis abscedens et suffodiens, folliculitis keloidalis nuchae, actinic folliculitis, eosinophilic pustular folliculitis (EPF), malassezia folliculitis and epidermal growth factor receptor(EGFR) inhibitor-induced papulopustular eruption.
Većina jednostavnih slučajeva riješi se sama, ali prva linija liječenja obično su lokalne masti. Mogu se propisati lokalni antibiotici, poput mupirocina, neomycin/polymyxin B ili bacitracin masti. Također se mogu koristiti oralni antibiotici. Gljivični folikulitis (pityrosporum folikulitis) može zahtijevati oralni antimikotik.
○ Liječenje
Svi lijekovi koji se koriste za liječenje akni također pomažu kod folikulitisa. Benzoyl peroxide i azelaic acid pomažu u liječenju folikulitisnih lezija. OTC antibiotic mast također se može koristiti u nekim gnojnim slučajevima.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Polysporin
#Bacitracin