Última revisão: 5 Nov 2020
Última atualização: 07 Agosto 2020

Resumo

Definição

História e exame físico

Principais fatores de diagnóstico

  • história recente de imersão em banheiras de spa
  • homem com pele escura e cabelo crespo
  • ingestão recente de medicamentos notoriamente associados à foliculite

Outros fatores de diagnóstico

  • história recente de barbear
  • pápulas umbilicadas, cor de pele
  • pápulas em um lado da face na área submandibular
  • pápulas e pústulas pequenas e uniformes
  • histórico de eritema
  • alopécia/descamação do couro cabeludo
  • placas eritematosas com crostas hemorrágicas em uma distribuição dermatomal

Fatores de risco

  • trauma, incluindo raspagem e extração
  • preparos de corticosteroide tópico
  • diabetes mellitus
  • imunossupressão
  • oclusão
  • transpiração
  • antibióticos sistêmicos
  • imersão em água com nível insuficiente de cloro
  • medicamentos

Exames diagnósticos

Exames a serem considerados

  • coloração de Gram
  • solução de hidróxido de potássio (KOH)
  • esfregaço de Tzanck
  • ensaio de anticorpo fluorescente direto (AFD)
  • cultura de tecido
  • biópsia de pele
Mais exames a serem considerados

Algoritmo de tratamento

Colaboradores

Clinical Research Fellow

Dermatology Department

Keck School of Medicine of USC

University of Southern California

Los Angeles

CA 

Divulgações

JH declares that he has no competing interests.

Clinical Research Fellow

Dermatology Department

Keck School of Medicine of USC

University of Southern California

Los Angeles

CA

Divulgações

NEC declares that she has no competing interests.

April W. Armstrong

Associate Dean, Clinical Research

Associate Professor of Dermatology

Keck School of Medicine of USC

University of Southern California

Los Angeles

CA

Divulgações

AWA has served as consultant for Abbvie, Amgen, Janssen, Merck, Eli Lilly, Novartis, and Pfizer; has served as an investigator for Abbvie, Janssen, and Eli Lilly; and is a member of Speaker’s Bureau for Abbvie.

Joshua Hekmatjah, Dr Nazanin Ehsani-Chimeh, and Dr April W. Armstrong would like to gratefully acknowledge Professor Howard Baden, a previous contributor to this topic.

Divulgações

HB declares that he has no competing interests.

Colegas revisoresMOSTRAR TODOS

Professor of Dermatology

Dean Emeritus

School of Medicine and Dentistry

University of North Carolina

Chapel Hill

NC

Divulgações

LG is editor-in-chief and co-founder of Logicalimages, Inc, which has print and electronic products for education and point-of-care; he has stock and stock options in that corporation. He is on the clinical and scientific advisory boards of Anacor Inc, which is developing anti-inflammatory and anti-infective products that are in early clinical trials; he receives payments and stock options for those services.

Head of Department

Department of Dermatology

St George Hospital

Conjoint Professor

University of New South Wales

Sydney

Australia

Divulgações

DFM declares that she has no competing interests.

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