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DermAtlas: SCALP - folliculitis, bacterial
© 2001-2009, DermAtlas
Image Name: folliculitis_2_080921   File Type: jpg
Diagnosis: FOLLICULITIS, BACTERIAL /
FOLLICULITIS /
STAPHYLOCOCCAL INFECTION /
STYE
  Category: hair disorders /
infections and infestations
Body Site: scalp   Age: 8 years
Contributor: Bernard Cohen, MD    
Description: scattered clusters of 2 mm follicular red papules and pustules
Comments: This healthy 8-year-old girl complained of an itchy scalp and scaling. A fugl culture was negative, and her symptoms improved with a loose hair do, antiseborrheic shampoo, and a 7 day course of anti-Staphylococcal oral antibiotic. She had multiple follicular pustules on the other side of her scalp, eye brow and eye lashes where she also had a stye..
Related Images: folliculitis_1_080921 

DermAtlas: SCALP - folliculitis, bacterial
© 2001-2009, DermAtlas
Image Name: folliculitis_1_080921   File Type: jpg
Diagnosis: FOLLICULITIS, BACTERIAL /
FOLLICULITIS /
STAPHYLOCOCCAL INFECTION /
STYE
  Category: hair disorders /
infections and infestations
Body Site: scalp   Age: 8 years
Contributor: Bernard Cohen, MD    
Description: 2 mm follicular based pustule
Comments: This healthy 8-year-old girl complained of an itchy scalp and scaling. A fugl culture was negative, and her symptoms improved with a loose hair do, antiseborrheic shampoo, and a 7 day course of anti-Staphylococcal oral antibiotic. She had multiple follicular pustules on the other side of her scalp, eye brow and eye lashes where she also had a stye..
Related Images: folliculitis_2_080921 

DermAtlas: NECK - tinea versicolor
© 2001-2009, DermAtlas
Image Name: TINEA_VERSICOLOR_1_071126   File Type: jpg
Diagnosis: TINEA VERSICOLOR /
PITYROSPORUM INFECTION /
PITYROSPORUM FOLLICULITIS /
FOLLICULITIS
  Category: infections and infestations /
hypopigmentation, depigmentation
Body Site: neck / back   Age: 11 years
Contributor: Nasser Altamimi    
Description: pt child male about 11 years comlain from mutiple patch hypopigmented posterior neck.
Comments: This 11-year-old boy was noted to have some minimally scaly hypopigmented 0.2-1.0 cm patches on his neck and back. Note the small pustules on the upper back consistent with a pityrosporum folliculitisi

DermAtlas: BUTTOCK - Staphylococcal infection
© 2001-2009, DermAtlas
Image Name: methicillin_staph_1_060727   File Type: jpg
Diagnosis: STAPHYLOCOCCAL INFECTION /
FOLLICULITIS /
CELLULITIS /
BOIL
  Category: infections and infestations
Body Site: buttock / vulva (labia)   Age: 2 years
Contributor: Bernard Cohen, MD    
Description: red follicular papules and pustules and indurated painful right inferior buttock and labia
Comments: This healthy toddler had a history of recurrent folliculitis and boils. A culture grew methicillin resistant Staphylococcus aureus which cleared with oral sulfamethoxazole-trimethroprim.
Related Images: methicillin_staph_2_060727 

DermAtlas: BUTTOCK - Staphylococcal infection
© 2001-2009, DermAtlas
Image Name: methicillin_staph_2_060727   File Type: jpg
Diagnosis: STAPHYLOCOCCAL INFECTION /
FOLLICULITIS /
CELLULITIS /
BOIL
  Category: infections and infestations
Body Site: buttock / vulva (labia)   Age: 2 years
Contributor: Bernard Cohen, MD    
Description: red follicular papules and pustules and indurated painful right inferior buttock and labia
Comments: This healthy toddler had a history of recurrent folliculitis and boils. A culture grew methicillin resistant Staphylococcus aureus which cleared with oral sulfamethoxazole-trimethroprim.
Related Images: methicillin_staph_1_060727 

DermAtlas: Histology - folliculitis, demodex
© 2001-2009, DermAtlas
Image Name: demodex_folliculitis_2_060227   File Type: jpg
Diagnosis: FOLLICULITIS, DEMODEX /
FOLLICULITIS
  Category: infections and infestations /
hair disorders
Body Site: nose   Age: 75 years
Contributors: Robert Law, MD
Greg Hosler, MD, PhD
   
Description: This wet prep also demonstrates the features of the Demodex mite. The wet prep was prepared by squeezing a pore on the nose of a volunteer, projecting the organism onto a slide.
Comments: This lesion from the nose of a 75-year-old man was submitted to rule out basal cell carcinoma. Demodex mites are ectoparasites that are common inhabitants of the skin and pilosebaceous unit. To the non-dermatopathologist, their presence can be unsettling. Their role in inflammatory processes such as rosacea is controversial. In this case, the mite was extruded into the surrounding dermis following follicle rupture, secondary to folliculitis. It is now clearly contributing to the inflammation. The mite can be differentiated from a scabies mite by its anatomic location and relatively elongated body.
Related Images: demodex_folliculitis_1_060227 

DermAtlas: Histology - folliculitis, demodex
© 2001-2009, DermAtlas
Image Name: demodex_folliculitis_1_060227   File Type: jpg
Diagnosis: FOLLICULITIS, DEMODEX /
FOLLICULITIS
  Category: infections and infestations /
hair disorders
Body Site: nose   Age: 75 years
Contributors: Robert Law, MD
Greg Hosler, MD, PhD
   
Description: Histologic sections of skin show a refractile object present within a dermal abscess. An adjacent ruptured follicle is also present (not shown). This Demodex mite was caught in a rare longitudinal section, showing its complete anatomy.
Comments: This lesion from the nose of a 75-year-old man was submitted to rule out basal cell carcinoma. Demodex mites are ectoparasites that are common inhabitants of the skin and pilosebaceous unit. To the non-dermatopathologist, their presence can be unsettling. Their role in inflammatory processes such as rosacea is controversial. In this case, the mite was extruded into the surrounding dermis following follicle rupture, secondary to folliculitis. It is now clearly contributing to the inflammation. The mite can be differentiated from a scabies mite by its anatomic location and relatively elongated body.
Related Images: demodex_folliculitis_2_060227 

DermAtlas: SHIN - Nigerian shin disease
© 2001-2009, DermAtlas
Image Name: nigerian_shin_diaease_1_050904   File Type: jpg
Diagnosis: NIGERIAN SHIN DISEASE /
STAPHYLOCOCCAL INFECTION /
FOLLICULITIS /
FOLLICULITIS, SCARRING
  Category: hair disorders
Body Site: shin / leg   Age: 22 years
Contributor: Sugathan Paramoo, MD, FRCP(Glasg)    
Description: multiple symmetric follicular pustules
Comments: A 22-year-old woman complained of ichy follicular pustules on both shins for 7 years. Treatment with several antibiotics gave only temporary releif. Multiple cultures yielded coagulase positive Staphylococci of varying sensistivity to antibiotics. First decribed by Clarke from Nigeria this problem is very common in southern India and responds most effectively to hair removal laser. In this disorder lesions recur or persist until scarring results in permanent hair loss. Men and woman with coarse hair may be affected.

DermAtlas: ANKLE - folliculitis, bacterial
© 2001-2009, DermAtlas
Image Name: folliculitis_2_020831   File Type: jpg
Diagnosis: FOLLICULITIS, BACTERIAL /
FOLLICULITIS
  Category: infections and infestations
Body Site: ankle / leg   Age: 16 years
Contributor: Franz Ritucci, MD    
Description: follicular red papules some with a central pustule
Comments: This healthy adolescent developed recurrent red papules and pustules on his ankles which worsened in the summer heat.

DermAtlas: LEG - folliculitis, bacterial
© 2001-2009, DermAtlas
Image Name: Staphylococcal_Folliculitis_1_040726   File Type: jpg
Diagnosis: FOLLICULITIS, BACTERIAL /
FOLLICULITIS /
STAPHYLOCOCCAL INFECTION
  Category: hair disorders /
infections and infestations
Body Site: leg   Age: 19 years
Contributor: Franz Ritucci, MD    
Description: follicular pustules on a red base
Comments: This 19-year-old man complained of painful pustules on his leg. Although topical hydrocortisone did not help, the lesions resolved with oral cephalexin.
Related Images: Staphylococcal_Folliculitis_2_040726 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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