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Tufted hair folliculitis after scalp injury.
Cutis. 2001 Mar; 67(3):243-5.C

Abstract

We describe the case of a 38-year-old epileptic man with tufted hair folliculitis. The condition started 5 years ago after a scalp laceration that had been sustained 3 months earlier during an epileptic crisis. There then appeared a circumscribed inflammatory bulging lesion (with exudation and crusts) that evolved to scarring alopecia with tufts of 20 to 30 apparently normal hair shafts. Results of bacteriologic examination of pus extruding from the dilated follicular ostia revealed Staphylococcus aureus. The cutaneous pathologic examination showed polymorphous inflammatory exudate in the upper and mid dermis, which was mostly perifollicular, and the presence of normal and independent follicles in the deep dermis, which, while ascending, converged to a common dilated follicular channel. The patient was treated successively with oral flucloxacillin, erythromycin, ciprofloxacin, and amoxicillin/clavulanic acid and with topical application of erythromycin, clindamycin, povidone iodine, and ketoconazole. Transient improvement was followed by recurrence and enlargement of the affected area.

Authors+Show Affiliations

Fernandes JC
Department of Dermatology and Venereology, Hospital de São João, Porto, Portugal.
Correia TM
No affiliation info available
Azevedo F
No affiliation info available
Mesquita-Guimarães J
No affiliation info available

MeSH

AdultDiagnosis, DifferentialEpilepsyFolliculitisHumansMaleScalpStaphylococcal Infections

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11270300

Citation

Fernandes, J C., et al. "Tufted Hair Folliculitis After Scalp Injury." Cutis, vol. 67, no. 3, 2001, pp. 243-5.
Fernandes JC, Correia TM, Azevedo F, et al. Tufted hair folliculitis after scalp injury. Cutis. 2001;67(3):243-5.
Fernandes, J. C., Correia, T. M., Azevedo, F., & Mesquita-Guimarães, J. (2001). Tufted hair folliculitis after scalp injury. Cutis, 67(3), 243-5.
Fernandes JC, et al. Tufted Hair Folliculitis After Scalp Injury. Cutis. 2001;67(3):243-5. PubMed PMID: 11270300.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tufted hair folliculitis after scalp injury. AU - Fernandes,J C, AU - Correia,T M, AU - Azevedo,F, AU - Mesquita-Guimarães,J, PY - 2001/3/29/pubmed PY - 2001/7/13/medline PY - 2001/3/29/entrez SP - 243 EP - 5 JF - Cutis JO - Cutis VL - 67 IS - 3 N2 - We describe the case of a 38-year-old epileptic man with tufted hair folliculitis. The condition started 5 years ago after a scalp laceration that had been sustained 3 months earlier during an epileptic crisis. There then appeared a circumscribed inflammatory bulging lesion (with exudation and crusts) that evolved to scarring alopecia with tufts of 20 to 30 apparently normal hair shafts. Results of bacteriologic examination of pus extruding from the dilated follicular ostia revealed Staphylococcus aureus. The cutaneous pathologic examination showed polymorphous inflammatory exudate in the upper and mid dermis, which was mostly perifollicular, and the presence of normal and independent follicles in the deep dermis, which, while ascending, converged to a common dilated follicular channel. The patient was treated successively with oral flucloxacillin, erythromycin, ciprofloxacin, and amoxicillin/clavulanic acid and with topical application of erythromycin, clindamycin, povidone iodine, and ketoconazole. Transient improvement was followed by recurrence and enlargement of the affected area. SN - 0011-4162 UR - https://www.unboundmedicine.com/medline/citation/11270300/Tufted_hair_folliculitis_after_scalp_injury_ DB - PRIME DP - Unbound Medicine ER -