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Pseudofolliculitis Barbae

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Foreign-body inflammatory reaction from an ingrown hair resulting in the appearance of papules and pustules. This is found mainly in the bearded area (barbae) but may occur in other ...

DIAGNOSIS

HISTORY

Pain on shaving; pruritus of shaved areas, irritated “razor bumps” 

PHYSICAL EXAM

  • Tender, exudative, erythematous follicular papules or pustules in beard area (less commonly in scalp, a...

TREATMENT

  • Mild cases

    • Stop shaving or avoid close shaving for 30 days while keeping beard groomed and clean (1,2)[C].

    • Consider 5% benzoyl peroxide after shaving and application of 1% hydrocortisone cre...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

  • As needed

  • Educate patient on curative and preventive treatment.

DIET

  • No restrictions

  • No dietary studies available

PATIENT EDUCATION

REFERENCES

1
Bridgeman-Shah S. The medical and surgical therapy of pseudofolliculitis barbae. Dermatol Ther.  2004;17(2):158–163. [View Abstract on OvidMedline]
2
Perry PK, Cook-Bolden FE, Rahman Z...

ADDITIONAL READING

  • Cook-Bolden FE, Barba A, Halder R, et al. Twice-daily applications of benzoyl peroxide 5%/clindamycin 1% gel versus vehicle in the treatment of pseudofolliculitis barbae. Cutis. ...

SEE ALSO

Folliculitis; Impetigo 

CODES

ICD10

  • L73.1 Pseudofolliculitis barbae

  • B35.0 Tinea barbae and tinea capitis

  • L73.8 Other specified follicular disorders

ICD9

  • 704.8 Other specified diseases of hair and hair follicles

  • 110.0 Dermatophytos...

CLINICAL PEARLS

  • Electrolysis is not recommended as a treatment. It is expensive, painful, and often unsuccessful.

  • Combination of laser therapy with eflornithine is more effective than laser alone.

  • The a...

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