Folliculitis - 毛囊炎
如果只有一兩顆，通常只是普通的痘痘
Acne vulgaris（痤瘡）通常出現在非常油性的皮膚。痤瘡是一種在青春期常見的毛囊炎。
relevance score : -100.0%
ReferencesFolliculitis 是一種常見的皮膚疾病，毛囊受到感染或發炎，會在皮膚上出現膿皰或紅色腫塊。它大多是由毛囊細菌感染所致，但也可能由真菌、病毒或非感染因素引起。
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 是一種看起來像痤瘡，但實際上由真菌引起的皮膚疾病。它常被誤認為普通痤瘡。雖然與痤瘡相似，但一般的痤瘡治療往往無法完全根除，且可持續數年。當皮膚中的某些酵母菌過度生長時，就會發生此狀況。免疫功能下降或使用抗生素等因素會使情況惡化。常見於胸部、背部、手臂及臉部，呈現紅色腫塊或丘疹。口服抗黴菌藥物效果最佳，能快速緩解症狀。有時需同時治療真菌感染與痤瘡。
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.
本文介紹了需要與痤瘡區別的各類毛囊炎——superficial pustular folliculitis (SPF)、folliculitis barbae 及 sycosis barbae、perifolliculitis capitis abscedens et suffodiens、folliculitis keloidalis nuchae、actinic folliculitis、eosinophilic pustular folliculitis (EPF)、malassezia folliculitis 以及 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.
大多數輕微病例會自行痊癒，第一線治療通常使用外用藥膏。可開立局部抗生素，例如 Mupirocin(莫匹羅星) 或 Neomycin/Polymyxin B/Bacitracin ointment(新黴素/多粘菌素 B/桿菌肽軟膏)。必要時亦可使用口服抗生素。真菌性毛囊炎（糠秕孢子菌毛囊炎）可能需要口服抗真菌藥物。
○ 治療
所有治療痤瘡的藥物同樣適用於毛囊炎。過氧化苯甲醯與壬二酸均可幫助改善毛囊炎病灶；在部分化膿性病例中，也可使用非處方抗生素軟膏。
#Benzoyl peroxide [OXY-10]
#Adapalene gel [Differin]
#Polysporin
#Bacitracin