Folliculitis eczematosa barbae - Altmeyers Encyclopedia

Definition
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Less common diagnosis for the combination of eczema of the beard area and upper lip (e.g. allergic contact eczema or toxic eczema in chronic rhinitis; atopic eczema) with a mostly secondary grafted follicular pyoderma.

Manifestation
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In adulthood, occurring mainly in men.

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Localization
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Especially upper lip, extension to the perioral region and the chin, possibly the entire beard area. Rare manifestation on eyebrows, capillitium, regio pubis.

Clinical features
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Eczema, covered with dried, dirty-yellow crusts; flat erosions, follicular bound pustules, severe itching. Loss of the diseased hair.

Differential diagnosis
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Tinea barbae; folliculitis barbae candidamycetica.

Therapy
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Internally in severe cases antibiotics, according to the antibioogram. Externally, halogen-containing antiseptics such as polyvidon iodine (e.g. Betaisodona) or clioquinol (Linola-Sept) as ointment dressing, moist compresses with antiseptics such as polihexanide (Serasept, Prontoderm), possibly corticoid combination preparations (e.g. Fucicort). Prohibition of wet shaving, dry shaving (disinfection of the shaving head e.g. with isopropanol 70% or use of disposable razors).