Folliculitis - 毛嚢炎
1 つまたは 2 つある場合は、通常は単なるニキビです
Acne vulgaris 非常に脂性肌。ニキビは、思春期に発生する毛嚢炎の一種です。
References
Folliculitis は、毛包が感染または炎症を起こし、皮膚に膿疱や赤い隆起が生じる一般的な皮膚疾患です。多くの場合、毛包の細菌感染によって引き起こされますが、真菌、ウイルス、または非感染性因子によって引き起こされることもあります。
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 はニキビのように見えますが、実際には真菌によって引き起こされる皮膚疾患です。一般的なニキビと間違われることが多いです。ニキビに似ていますが、通常のニキビ治療では完全に治らない可能性があり、何年も続く可能性があります。この状態は、皮膚内の特定の酵母菌が増殖しすぎると発生します。免疫力の低下や抗生物質の使用などの要因により、症状が悪化する可能性があります。通常、胸、背中、腕、顔に赤い隆起や吹き出物として現れます。経口抗真菌薬が最も効果があり、症状を迅速に改善できます。場合によっては、真菌感染症と座瘡の両方を同時に治療する必要があることもあります。
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.
この記事では、ニキビと区別する必要があるさまざまなタイプの毛嚢炎を紹介します - 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.
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.
ほとんどの単純なケースは自然に解決しますが、第一選択の治療は通常、局所軟膏です。ムピロシンまたはネオマイシン/ポリミキシンB/バシトラシン軟膏などの局所抗生物質が処方される場合があります。経口抗生物質も使用される場合があります。真菌性毛嚢炎（ピティロスポルム毛包炎）では、経口抗真菌薬の投与が必要になる場合があります。
○ 治療
ニキビを治療するためのすべての薬は毛嚢炎にも役立ちます。過酸化ベンゾイルとアゼライン酸は毛嚢炎病変の治療に役立ちます。化膿性の場合には、OTC の抗生物質軟膏も使用されることがあります。
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Polysporin
#Bacitracin