Document Detail


Pityrosporum folliculitis: diagnosis and management in 6 female adolescents with acne vulgaris.
MedLine Citation:
PMID:  15630060     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pityrosporum folliculitis is a common inflammatory skin disorder that may mimic acne vulgaris. Some adolescents with recalcitrant follicular pustules or papules may have acne and Pityrosporum folliculitis simultaneously. Clinical response is dependent on treating both conditions. OBJECTIVES: To demonstrate the similarity in clinical manifestation between acne vulgaris and Pityrosporum folliculitis, the benefit of potassium hydroxide preparation, and the benefit of appropriate antifungal therapy. PATIENTS: We describe 6 female adolescents with concurrent Pityrosporum folliculitis infection and acne vulgaris. INTERVENTION: A potassium hydroxide examination was performed on all 6 patients from the exudate of follicular pustules exhibiting spores consistent with yeast. All patients were treated with oral antifungals, and 5 of the 6 patients were also treated with topical antifungals. RESULTS: Six of 6 patients improved with antifungal treatment. All patients also required some ongoing therapy for their acne. CONCLUSIONS: These patients demonstrate that follicular papulopustular inflammation of the face, back, and chest may be due to a combination of acne vulgaris and Pityrosporum folliculitis, a common yet less frequently identified disorder. Symptoms often wax and wane depending on the patient's activities, time of the year, current treatment regimens, and other factors. Pityrosporum folliculitis will often worsen with traditional acne therapy and dramatically respond to antifungal therapy.
Authors:
Katherine Ayers; Susan M Sweeney; Karen Wiss
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  159     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-01-04     Completed Date:  2005-01-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  64-7     Citation Subset:  AIM; IM    
Affiliation:
Division of Dermatology, Department of Medicine, University of Massachusetts Medical School, Worcester 01605, USA.
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MeSH Terms
Descriptor/Qualifier:
Acne Vulgaris / complications,  diagnosis
Adolescent
Antifungal Agents / therapeutic use
Dermatomycoses / diagnosis*,  drug therapy,  microbiology*
Diagnosis, Differential
Female
Folliculitis / complications,  diagnosis*,  drug therapy,  microbiology*
Humans
Hydroxides / diagnostic use
Malassezia*
Potassium Compounds / diagnostic use
Chemical
Reg. No./Substance:
0/Antifungal Agents; 0/Hydroxides; 0/Potassium Compounds; 1310-58-3/potassium hydroxide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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