最后审阅: 25 九月 2021
最后更新: 07 八月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 近期热水浴史
  • 肤色深的卷发男性
  • 近期摄入已知与毛囊炎相关的药物

其他诊断因素

  • 近期剃须/剃毛史
  • 脐形、肉色丘疹
  • 面部一侧的颌下区出现丘疹
  • 小型、形态一致的丘疹和脓疱
  • 红斑基底
  • 脱发/头皮脱屑
  • 沿皮节分布的红色斑块伴出血痂皮

危险因素

  • 创伤,包括剃除和拔除毛发
  • 外用皮质类固醇制剂
  • 糖尿病
  • 免疫抑制
  • 遮蔽
  • 出汗
  • 全身性应用抗生素
  • 浸泡在氯化不足的水中
  • 药物

诊断性检查

需考虑的检查

  • 革兰染色
  • 氢氧化钾 (KOH) 涂片镜检
  • Tzanck 涂片
  • 直接荧光抗体 (DFA) 检测
  • 组织培养
  • 皮肤活组织检查

治疗流程

撰稿人

作者

Joshua Hekmatjah, BS

Clinical Research Fellow

Dermatology Department

Keck School of Medicine of USC

University of Southern California

Los Angeles

CA 

利益声明

JH declares that he has no competing interests.

Nazanin Ehsani-Chimeh, MD

Clinical Research Fellow

Dermatology Department

Keck School of Medicine of USC

University of Southern California

Los Angeles

CA

利益声明

NEC declares that she has no competing interests.

April W. Armstrong, MD, MPH
April W. Armstrong

Associate Dean, Clinical Research

Associate Professor of Dermatology

Keck School of Medicine of USC

University of Southern California

Los Angeles

CA

利益声明

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.

鸣谢

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.

利益声明

HB declares that he has no competing interests.

同行评议者

Lowell Goldsmith, MD

Professor of Dermatology

Dean Emeritus

School of Medicine and Dentistry

University of North Carolina

Chapel Hill

NC

利益声明

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.

Dedee F. Murrell, MA, BMBCh, FAAD, MD

Head of Department

Department of Dermatology

St George Hospital

Conjoint Professor

University of New South Wales

Sydney

Australia

利益声明

DFM declares that she has no competing interests.

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