Folliculitis - Folikulīts
☆ 2022. gada Stiftung Warentest rezultātos no Vācijas patērētāju apmierinātība ar ModelDerm bija tikai nedaudz zemāka nekā ar maksas telemedicīnas konsultācijām.
Ja ir viens vai divi, tas parasti ir tikai pūtītes
Tas bieži parādās kā liels skaits pustulu, kas pēkšņi rodas uz rumpja.
References
Folliculitis ir izplatīta ādas slimība, kad matu folikulas tiek inficētas vai iekaisušas, kā rezultātā uz ādas veidojas pustulas vai sarkani pumpiņas. To bieži izraisa bakteriāla matu folikulu infekcija, bet to var izraisīt arī sēnītes, vīrusi vai neinfekciozi faktori.
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 ir ādas slimība, kas izskatās pēc pinnēm, bet patiesībā to izraisa sēne. To bieži sajauc ar parastajām pūtītēm. Lai gan tas ir līdzīgs pūtītēm, parastās pūtītes ārstēšanas metodes var to pilnībā neizdzēst, un tās var ilgt gadiem ilgi. Šis stāvoklis rodas, ja daži raugi mūsu ādā aug pārāk daudz. To var pasliktināt tādi faktori kā novājināta imūnsistēma vai antibiotiku lietošana. Tas parasti parādās kā sarkani izciļņi vai pūtītes uz krūtīm, muguras, rokām un sejas. Perorālie pretsēnīšu līdzekļi darbojas vislabāk un var ātri uzlabot simptomus. Dažreiz ir jāārstē gan sēnīšu infekcija, gan pinnes.
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.
Šajā rakstā ir aprakstīti dažādi folikulīta veidi, kas ir jānošķir no pinnēm - 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.
Lielākā daļa vienkāršo gadījumu izzūd paši, bet pirmās izvēles ārstēšanas līdzekļi parasti ir lokālas ziedes. Var parakstīt lokālas antibiotikas, piemēram, mupirocīnu vai neomicīna/polimiksīna B/bacitracīna ziedi. Var lietot arī perorālās antibiotikas. Sēnīšu folikulītam (pityrosporum folliculitis) var būt nepieciešams perorāls pretsēnīšu līdzeklis.
○ Ārstēšana
Visas zāles pinnes ārstēšanai palīdz arī folikulīta gadījumā. Benzoilperoksīds un azelaīnskābe palīdz ārstēt folikulīta bojājumus. Dažos strutainos gadījumos var lietot arī ārpusbiržas antibiotiku ziedi.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Polysporin
#Bacitracin