Dermatology Book

http://www.fpnotebook.com/

Tinea Barbae

Aka: Tinea Barbae
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  1. Epidemiology
    1. Adult males
    2. Seen now in farmers related to animal exposure
  2. Etiology
    1. Trichophyton verrucosum
    2. Trichophyton mentagrophytes
  3. Pathophysiology
    1. Dermatophyte infection of the beard and mustache area
    2. Trichomycosis (Invasion of Hair Shaft)
      1. Resembles Tinea Capitis infection
  4. Symptoms
    1. Pruritus
    2. Local tenderness
  5. Signs
    1. Distribution
      1. Beard and mustache area
      2. Eyelashes and eyebrows (rare)
    2. Pustular Folliculitis
      1. Hair Follicles surrounded by inflammation
        1. Papules and Pustules
        2. Superimposed exudate and crust
      2. Hair easily removed
    3. Circular reddish patches with scale
      1. Hairs broken off at surface
  6. Differential Diagnosis
    1. Bacterial Folliculitis (Staphylococcus aureus)
    2. Furuncle or Carbuncle
    3. Acne Vulgaris
    4. Rosacea
    5. Perioral dermatitis
    6. Pseudofolliculitis barbae
    7. Contact Dermatitis
    8. Herpes Simplex Virus (Eczema herpeticum)
  7. Labs: Potassium Hydroxide (KOH) of plucked hair
    1. Hyphae seen invading Hair Shaft
  8. Management: Systemic Antifungal Medications
    1. Treat for 2-3 weeks after lesion resolution
    2. Griseofulvin 500 mg PO bid for 4-6 weeks
    3. Ketoconazole 200 mg PO qd for 4-6 weeks
  9. Complications
    1. Staphylococcus aureus superinfection
    2. Kerion
  10. Reference
    1. Fitzpatrick (1992) Color Atlas Dermatology
    2. Hainer (2003) Am Fam Physician 67(1):101-8

Sycosis barbae (C0275798)

Concepts Disease or Syndrome (T047)
SnomedCT 21769009, 156410002, 55875000
English Barber's itch, Folliculitis barbae, Sycosis barbae, not parasitic, Sycosis vulgaris, Barbers' rash, Barber's rash, Sycosis vulgaris (disorder), barber's rash, barbers itch, bacterial folliculitis, barber rash, folliculitis barbae, sycosis barbae, sycosis vulgaris, barbers rash, barber itch, Sycosis barbae (disorder), Sycosis barbae, barbae; sycosis, barber's itch, barber's; itch, itch; barber's, sycosis; barbae, sycosis; vulgaris, vulgaris; sycosis, Sycosis, non-parasitic, Sycosis, vulgaris
Italian Sicosi della barba, Sicosi volgare, Irritazione cutanea della barba
Dutch sycosis vulgaris, barbiersrash, barbae; sycosis, barber's; itch, itch; barber's, sycosis; barbae, sycosis; vulgaris, vulgaris; sycosis, sycosis barbae
French Sycosis, Pelade de la barbe, Sycosis staphylococcique
German Sycosis vulgaris, Pili incarnati, Sycosis barbae
Portuguese Sicose vulgar, Erupção cutânea de Barber, Sicose da barba
Spanish Sicosis vulgar, Foliculitis de la barba, sicosis de la barba (trastorno), sicosis de la barba, sicosis vulgar (concepto no activo), sicosis vulgar, Sicosis de la barba, sicosis de la barba, no parasitaria
Japanese 尋常性毛瘡, 須毛瘡, ﾄｺﾔｼﾝ, 床屋疹, ｼﾞﾝｼﾞｮｳｾｲﾓｳｿｳ, ｼｭﾓｳｿｳ, ｽﾓｳｿｳ
Czech Folikulitida vousaté části obličeje, Sycosis vulgaris, Vyrážka po holení
Hungarian szőtüszőgyulladás, sycosis barbae, Sycosis vulgaris
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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