Folliculitis decalivating - causes, symptoms, diagnosis, treatment
- 07 Jul 13:00
- Disease Of The Skin
Folliculitis decalivating( the second name of the disease is sicozyformular folliculitis) is a rather rare disease in which hair follicles are affected. Folliculitis occurs chronically, and, despite the fact that the phenomena of pustularization and ulcers are absent, the diseaseleads to atrophy of the skin and persistent baldness. This form of folliculitis, unlike hereditary androgenic alopecia, is a acquired disease.
Folliculitis decalivation is more common in men in the elderly or middle age. In them the hearth of defeat can be located not only on the head, but on the face in places of growth of mustaches and beards. Women are less prone to the development of this form of folliculitis, but at the same time they encounter another disease - androgenic alopecia.
- 1 Causes of development of
- 2 Clinical picture of
- 3 Methods of diagnosis
- 4 Treatment of
- 4.1 Treatment by folk methods
- 5 Prevention and prognosis
- 6 Photo
Causes of development of
Decolviratory follicitis develops as a result of infections of hair follicles. The main causative agent is golden staphylococcus, however, in studies, in the affected follicles, the gram-negative flora is often detected. In this case, there may be a gram-negative follicle.
But to call sikoziformnogo folliculitis infectious diseases would not be quite true, as the use for antibiotic treatment only provides a temporary unstable effect. Therefore, there is a theory that the main cause of folliculitis syzotiform is the presence of any skin or systemic pathology of a person.
A number of researchers suggest that Seborrheic dermatitis may play an important role in the development of folliculitis. However, this theory is rather controversial, since decalivating folliculum is relatively rare, unlike seborrhea. Therefore, the combination of these two diseases, probably, does not have a special specific value and can not lead to seborrheic keratosis.
Become a factor in the development of decalivating folliculitis, may be systemic diseases that reduce the body's resistance to infections. Among these diseases can be attributed chronically leaky nephritis, diabetes mellitus, dysproteinemia and other pathologies that lead to inhibition of the functions of the immune system.
The cause of the development of sicosyform folliculitis may be the focal point of chronic infection. The literature describes cases of spontaneous involution of folliculitis after treatment of the underlying pathology, for example, after tooth extraction with caries and treatment of periodontitis.
Until now, it has not been possible to elucidate the reasons why folliculitis develops by atrophy and hair loss. However, all patients with sikoziformom folliculitis can detect significant and specific impairments in the functioning of the immune system caused by diseases of the internal organs or systems.
Clinical picture of
As a rule, decalivation folliculitis develops isolated on the scalp. Lesion lesions may appear in the parietal, temporal or frontal area along the line of hair growth. Sometimes this type of folliculitis can affect the pubic and axillary region.
A disease begins with the onset of follicular nodules. The appearance of rash with folliculitis does not cause any special sensations in the patient and may remain unnoticed. The appearance of such nodes may indicate the development of Darya's disease.
The size of the follicular nodes varies from spider head to lentil grain. In the center of the rash element, you can observe the growth of unchanged hair or its fragment, the knot can be surrounded by a small corolla of hyperemic skin.
Slow development is characteristic for decalivating folliculitis. The nose can exist for a long time without any changes. With this form of folliculitis, the degeneration of the knot on the pustules may not be observed. However, some nodules after a long evolution turn into pustules, which are commonly called secondary and as a consequence of this appear acne pustular.
In the center of the group of follicular nodes, the areas of scar atrophy gradually begin to develop, within which a stable baldness develops. Over time, individual cells can merge, forming rather large areas of scar alopecia, although within these centers the existence of individual hairs can continue.
As the disease develops, new nodules continue to form outside the lesion's cell, that is, there is a slow peripheral growth of the foci. Over time, patients with sykoziformnym folliculitis formed several different sized lesions of baldness.
In the course of folliculitis perennial, chronic. Occasionally, the formation of new follicles beyond the centers of baldness is slowing down, but there is also an aggravation. Often during decalivating folliculitis is accompanied by manifestations of the face of the lupoid silosa. In this case, the focal lesions appear on the skin near the ears and on the forehead. At first, patients develop papules, which eventually turn into dense scars.
Diagnosis of decolourizing folliculitis is complicated by the fact that the clinical picture of the disease, especially at an early stage, is similar to that of other skin diseases.
First of all, it is necessary to differentiate sikoziformnogo folliculitis with those pathologies, which are manifested by the formation of foci of chronic inflammation of the hair follicles. Therefore, at an early stage of the disease, while not yet formed the focus of atrophy, it is important to distinguish sikoziformnogo folliculitis from mycosis of the scalp and vaginal silicosis.
At the stage of forming the centers of atrophy, it is necessary to differentiate the folliculitis decalcifying from the necrotic form of acne, folliculitis abscess, pustular erosive dermatosis, focal alopecia and other diseases characterized by inflammation in the follicles.
Essential assistance in diagnostics provides a histological examination for which an element of rash from the active folliculitis area located outside the center is taken.
Histological picture with sicosyform folliculitis is as follows:
- In the epidermis, focal follicular keratosis, pronounced acanthosis, is observed.
- In the stud-tailed layer of the cell abruptly changed, in the lower rows visible signs of vaginal dystrophy.
- Ostrich hair sacks are strongly expanded and filled with horny masses.
- In the dermis, there is a dense infiltrate - lymphostiocytic or perifolycular, sometimes it is possible to notice the presence of neutrophils and mast cells.
In the study of material taken from the area of atrophied skin, the histological pattern is characteristic of the late stage of Brock's pseudopedation.
For conducting differential diagnosis of folliculitis sykoziformnogo with fungal lesions of hair and skin necessary appointment of mycological research. Microscopic and cognitive scans of the scalp are prescribed, as well as luminescent hair analysis
. Decalivating folliculitis is a chronic disease that can not be completely cured. However, the correct treatment can reduce the incidence of relapses and improve the condition of the skin and hair in the lesion's cells.
When decalivating folliculitis, systemic and local treatment is used.
General therapy is as follows.
When decalivating folliculitis, antibacterial agents of systemic action are used. Often, dasgs of choice are erythromycin, cephalosporin, or tetracycline preparations. As a rule, when taking antibiotics, there is a significant improvement, but after treatment, the disease often relapses. Therefore, today, combined therapy is often used, which often provides stable remission. The use of a combination of Clindamycin and Rifampicin is possible. Such therapy avoids the development of resistance to rifampicin, which is almost always observed after the use of this antibiotic as monotherapy.
In addition, short courses for topical steroids can be prescribed to patients with decalvirus folliculitis. These drugs, combined with antibiotic therapy, can quickly remove signs of inflammation and achieve remission.
The purpose of isotretinoin for the treatment of decalivating folliculitis is not relevant today, as in many patients, this medication only worsens the condition of the scalp.
As a local treatment for patients, decalvirating follicles prescribe the use of shampoos, which include ketoconazole or antibacterial substances.
Treatment of folk methods
There are also folk methods of combating manifestations of decalivating folliculitis. But their use is recommended only in combination with the administration of antibiotics, which should appoint a doctor.
For the treatment of decalivating folliculitis phytotherapy is recommended to use the following recipes.
Ointment from the burdock root. It is necessary to take fresh( 100 grams) or dry( 40 g) burdock root and boil the raw material in half a liter of water for 5 minutes. Then you need to give the broth a few hours. The resulting infusion is mixed with internal fat and placed in a ceramic pot. The pot prick should be tightly coated with a simple test and put the dishes in the ugly oven. Tomeit for three hours, allow to cool, without taking out the oven. The cooked ointment is used to apply decalivating folliculitis to the cells twice a day.
Prophylaxis and Prognosis
Prevention of decalivating folliculitis is the timely treatment of diseases that reduce the immune status of the body.
Prognosis for complete skin regeneration during decalivating folliculitis is unfavorable. This disease takes place over the years, giving frequent relapses. However, proper treatment can achieve long remission.