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Furunculosis

Zoltan Trizna, MD, PhD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Acute bacterial abscess of a hair follicle (often Staphylococcus aureus)

  • System(s) affected: skin/exocrine

  • Synonym(s): boils

EPIDEMIOLOGY

Incidence

  • Predominant age

    • Adolescents and young ...

DIAGNOSIS

HISTORY

  • Located on hair-bearing sites, especially areas prone to friction or repeated minor traumas (e.g., underneath belt, anterior aspects of thighs, nape, buttocks)

  • No initial fever or syst...

TREATMENT

GENERAL MEASURES

  • Moist, warm compresses (provide comfort, encourage localization/pointing/drainage) 30 minutes QID

  • If pointing or large, incise and drain: Consider packing if large or incomple...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Instruct patient to see physician if compresses are unsuccessful. 

DIET

Unrestricted 

PROGNOSIS

  • Self-limited: usually drains pus spontaneously and w...

REFERENCES

1
1 Demos M, McLeod MP, Nouri K. Recurrent furunculosis: a review of the literature. Br J Dermatol.  2012;167(4):725–732. {L-End} {L-End} [View Abstract on OvidMedline]
2
2 Fritz SA, C...

ADDITIONAL READING

  • El-Gilany AH, Fathy H. Risk factors of recurrent furunculosis. Dermatol Online J.  2009;15(1):16. {L-End} {L-End} [View Abstract on OvidMedline]

  • Ibler KS, Kromann CB. Recurre...

SEE ALSO

Folliculitis; Hidradenitis Suppurativa 

CODES

ICD10

  • L02.92 Furuncle, unspecified

  • L02.12 Furuncle of neck

  • L02.429 Furuncle of limb, unspecified

  • L02.32 Furuncle of buttock

  • L02.425 Furuncle of right lower limb

  • L02.422 Furuncle of left axilla

  • L02.426 ...

CLINICAL PEARLS

  • Pathogens may be different in different localities. Keep up-to-date with the locality-specific epidemiology.

  • If few, furuncles/furunculosis do not need antibiotic treatment. If systemic...

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