Acute, rarely chronic, painful, red and overheated lump of skin attached to a hair follicle, which is halo-like surrounded by a collateral erythema.
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Folliculitis profunda (overview)L01.0
DefinitionThis section has been translated automatically.
ClassificationThis section has been translated automatically.
Folliculitis profunda:
- profound folliculitis with melting perifolliculitis = boils
- Special case: furunculosis
- Confluent boils = carbuncles
EtiopathogenesisThis section has been translated automatically.
Deeper penetration of staphylococci into hair follicles.
LocalizationThis section has been translated automatically.
Predilection sites are regions of the face, neck, axillae, buttocks and thighs (usually on the extensor side) that are rich in sebaceous glands.
Clinical featuresThis section has been translated automatically.
Red, flat, mostly cone-shaped, but usually pointed and smooth papules ("pimples") that develop within hours, initially only slightly painful, but increasingly so over time. As the inflammation progresses with melting perifolliculitis, a highly painful red lump(boil) develops with a central, initially yellowish-purulent tip and subsequent black crust, with perilesional redness and swelling. At this stage, painful lymphadenitis begins, possibly with visible lymphangitis. Accompanying fever possible.
External therapyThis section has been translated automatically.
- Disinfectant solutions with antimicrobial additives such as polihexanide (Serasept, Prontoderm, Prontosan), hydroxyquinoline, e.g. quinolinol (e.g. Chinosol 1:1000) or R042, polyvidone-iodine (e.g. Betaisodona Lsg.), 0.5-2.0% Clioquinol-Lotio R050.
- Bandages using traction ointments such as distillates of bituminous slate (e.g. Ammonium bituminosulfonate 100% or R130 ) or antimicrobial additives such as Clioquinol (Linola-Sept).
Internal therapyThis section has been translated automatically.
In cases of pronounced folliculitis, an internal therapy with penicillinase-resistant penicillins such as Dicloxacillin (e.g. InfectoStaph) can be considered. Adults 4 times/day 0.5-1 g p.o., 1 hour before meals, children 50-100 mg/kg bw/day p.o. divided over 4 ED.