Folliculitis - Folikulitída
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ReferencesFolliculitis je bežné kožné ochorenie, pri ktorom sa infikujú alebo zapália vlasové folikuly, čo vedie k tvorbe pustúl alebo červených hrbolčekov na koži. Často je spôsobená bakteriálnou infekciou, ale môže byť vyvolaná aj plesňami, vírusmi alebo neinfekčnými faktormi.
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 ochorenie kože, ktoré vyzerá ako akné, ale v skutočnosti je spôsobené plesňou. Často sa mylne považuje za bežné akné. Aj keď je podobné akné, bežná liečba akné ho nemusí úplne odstrániť a môže pretrvávať roky. Tento stav nastáva, keď niektoré kvasinky v koži rastú nadmerne. Faktory ako oslabený imunitný systém alebo užívanie antibiotík ho môžu zhoršiť. Zvyčajne sa prejavuje ako červené hrbole alebo pupienky na hrudi, chrbte, rukách a tvári. Perorálne antifungálne lieky fungujú najlepšie a môžu rýchlo zmierniť príznaky. Niekedy je potrebná kombinovaná liečba plesňovej infekcie aj akné.
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.
Tento článok predstavuje rôzne typy folikulitídy, ktoré je potrebné odlíšiť od akné – superficial pustular folliculitis (SPF), folliculitis barbae a sycosis barbae, perifolliculitis capitis abscedens et suffodiens, folliculitis keloidalis nuchae, actinic folliculitis, eosinophilic pustular folliculitis (EPF), malassezia folliculitis a 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.
Väčšina jednoduchých prípadov sa vyrieši sama, ale liečba prvej línie zahŕňa zvyčajne lokálne masti. Môžu sa predpísať lokálne antibiotiká, ako je mupirocín, alebo masť neomycín/polymyxín B/bacitracín. Môžu sa použiť aj perorálne antibiotiká. Plesňová folikulitída (pityrosporum folliculitis) môže vyžadovať perorálne antimykotikum.
○ Liečba
Všetky lieky na liečbu akné pomáhajú aj pri folikulitíde. benzoyl peroxide (Benzoylperoxid) a azelaic acid (kyselina azelaová) pomáhajú liečiť lézie folikulitídy. OTC antibiotická masť sa môže použiť aj v niektorých hnisavých prípadoch.
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Polysporin
#Bacitracin