Synonym(s)
Folliculite dépilante des parties glabres; folliculitis decalvans faciei; lupoid sycosis; Sycosis lupoid; Ulerythema sycosiforme
HistoryThis section has been translated automatically.
Quinquaud, 1888
DefinitionThis section has been translated automatically.
Rare, eminently chronic inflammation of the hair follicles leading to scar formation. The entity of the clinical picture is doubtful, possible relation to folliculitis decalvans.
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EtiopathogenesisThis section has been translated automatically.
Unexplained, a bacterial genesis is being discussed.
LocalizationThis section has been translated automatically.
Beard area, eyebrows.
Clinical featuresThis section has been translated automatically.
Symmetrical, coin-sized to palm-sized, scaly or crusty, infiltrated, reddish-livid plaques with peripheral progression and central healing. Follicular papulo-pustules in the peripheral area (progression zone).
HistologyThis section has been translated automatically.
Dense periadnexial lympho-plasmacellular infiltrates.
Differential diagnosisThis section has been translated automatically.
Lupus erythematosus; folliculitis decalvans.
External therapyThis section has been translated automatically.
- Disinfecting exteriors with antimicrobial additives such as polihexanide (Serasept, Prontoderm), diluted potassium permanganate solution(light pink), quinolinol solution(e.g. Chinosol 1:1000) or R042, polyvidone-iodine complex(e.g. Betaisodona Lsg., R203 R204 ) or with clioquinol (Linolasept emulsion, R050 R049 ). If necessary, use of solutions containing erythromycin (e.g. R086, acne mycin solution, zineryt).
- Topical cream containing glucocorticoids like 0.05% triamcinolone acetonide (e.g. triamgals, R259 ), possibly under occlusive conditions.
Internal therapyThis section has been translated automatically.
Tetracyclines (e.g. Tetracycline Wolff) initially 1 g/day, later reduction to 500 mg/day. Therapy trial with isotretinoin (e.g. isotretinoin-ratiopharm; acne normin) 0.5 mg/kg bw. Cave! Women of child-bearing age! 1 mg/kg bw/day in decreasing dosage in case of stronger inflammation glucocorticoids (e.g. Decortin H).
LiteratureThis section has been translated automatically.
- Abe M et al (1998) Lupoid sycosis successfully treated with minocycline. Br J Dermatol 138: 199-200
- Karakuzu A et al (2001) A case of folliculitis decalvans involving the beard, face and nape. J Dermatol 28: 329-331
- Manchanda Y et al (2003) Lupoid sycosis of pubic area. J Dermatol 30: 248-249
- Quinquaud CE (1888) Folliculite destructive des régions velues. Bulletins et memoires de la Société medicale des hôpitaux de Paris 5: 95-98
- Sparrow LC (2001) Scarring alopecia and the dermatopathologist. J Cutan catholic 28: 333-342
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Incoming links (13)
Clioquinol cream 0.5-2% (o/w); Clioquinol lotio 0.5-5%; Erythromycin solution ethanol containing 0,5/1/2 or 4 % (nrf 11.78.); Folliculite dépilante des parties glabres; Folliculitis decalvans; Folliculitis decalvans faciei; Povidone-iodine ointment 10%, hydrophilic, soft (nrf 11.17.); Povidone-iodine solution 10%.; Quinolinol sulphate monohydrate solution 0,1 % (nrf 11.127.); Sycosis, lupoid; ... Show allOutgoing links (18)
Clioquinol; Clioquinol cream 0.5-2% (o/w); Clioquinol lotio 0.5-5%; Disinfectants; Erythromycin solution ethanol containing 0,5/1/2 or 4 % (nrf 11.78.); Folliculitis decalvans; Glucocorticosteroids systemic; Glucorticosteroids topical; Isotretinoin; Lupus erythematosus (overview); ... Show allDisclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Prof. Dr. med. Peter Altmeyer