Folliculitis - Folikulitas
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ReferencesFolliculitis yra dažna odos liga, kai plaukų folikulai užsikrečia arba uždegami, todėl ant odos atsiranda pustulės arba raudoni iškilimai. Tai dažnai sukelia bakterinė plaukų folikulų infekcija, bet taip pat gali sukelti grybeliai, virusai ar neinfekciniai veiksniai.
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 yra odos būklė, kuri atrodo kaip spuogai, bet iš tikrųjų ją sukelia grybelis. Tai dažnai painiojama su įprastais spuogais. Nors tai panašu į spuogus, įprastiniai spuogų gydymo būdai gali jų visiškai nepašalinti ir gali trukti daugelį metų. Ši būklė atsiranda, kai tam tikros mielės odoje auga per daug. Tokie veiksniai kaip susilpnėjusi imuninė sistema arba antibiotikų vartojimas gali pabloginti situaciją. Paprastai ji pasireiškia kaip raudoni iškilimai ar spuogeliai ant krūtinės, nugaros, rankų ir veido. Geriausiai veikia geriamieji priešgrybeliniai vaistai, kurie gali greitai palengvinti simptomus. Kartais būtina gydyti tiek grybelinę infekciją, tiek spuogus.
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.
Šiame straipsnyje pristatomi įvairūs folikulito tipai, kuriuos reikia atskirti nuo spuogų: superficial pustular folliculitis (SPF), folliculitis barbae, sycosis barbae, perifolliculitis capitis abscedens et suffodiens, folliculitis keloidalis nuchae, actinic folliculitis, eosinophilic pustular folliculitis (EPF), malassezia folliculitis ir 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.
Dauguma paprastų atvejų išsisprendžia savaime, tačiau pirmosios eilės gydymas paprastai yra vietiniai tepalai. Gali būti skiriami vietiniai antibiotikai, tokie kaip mupirocin, neomycin, polymyxin B arba bacitracin tepalas. Taip pat gali būti naudojami sisteminiai (geriamieji) antibiotikai. Grybeliniam folikulitui (pityrosporum folliculitis) gali prireikti geriamųjų priešgrybelinių vaistų.
○ Gydymas
Visi vaistai, skirti gydyti spuogus, taip pat padeda sergant folikulitu. Benzoyl peroxide ir azelaic acid padeda gydyti folikulito pažeidimus. Kai kuriais pūlingais atvejais taip pat gali būti naudojamas nereceptinis antibiotikų tepalas.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Polysporin
#Bacitracin