Nasal penetrating folliculitis
Introduction
Introduction to nasal penetrating folliculitis Nasal penetrating folliculitis (folliculitisnaresperforans) also known as perforated nasal folliculitis, less common, is deep folliculitis in the nasal vestibular nasal hair, mostly caused by pyogenic cocci, immunocompromised diabetes, poor skin hygiene and convulsions S. pyogenes invades from the nasal endothelium, grows and grows, infiltrates deep, penetrates the skin and produces small pustules on the nose, and the pustules contain infected nose hair. basic knowledge The proportion of illness: 0.12% Susceptible people: no specific people Mode of infection: non-infectious Complications: rhinitis
Cause
Causes of nasal penetrating folliculitis
(1) Causes of the disease
Mostly caused by pyogenic cocci.
(two) pathogenesis
Low immune function, diabetes, poor skin hygiene, and scratching, S. pyogenes invade from the nasal endothelium, grow and grow, infiltrate deep, penetrate the skin and produce small pustules on the nose. Pustules contain infected nose hair.
Prevention
Nasal penetrating folliculitis prevention
Keep the nasal cavity clean, do not use your fingers to dig your nose and avoid nasal infections. Do not eat spicy food, stop drinking and quit smoking, and keep your face clean.
Complication
Nasal penetrating folliculitis complications Complications rhinitis
rhinitis.
Symptom
Nasal penetrating folliculitis symptoms Common symptoms Nasal pustules
TCM pathogenesis and syndrome differentiation: This disease is similar to the nasal sore of Chinese medicine. For example, the "Nasal Diseases" nasal sore records: "The nose is the lung, the lungs are in the nose, the dirt is hot, the air is rushing. In the nose, so the sore is also "", Chinese medicine believes that the heat of the lungs and stomach, caused by the nose, the initial pain in the nasal cavity, small pustules around the hair follicles at the base of the nose hair, the folliculitis in the deep infiltration, piercing the skin Small pustules are produced on the nose, and the pustules contain infected nose hair.
Examine
Nasal penetrating folliculitis
1. Routine examination: Is there any pain in the nasal cavity, whether there is a small pustule around the mouth of the hair follicle at the root of the nose hair, infiltration around the small pustule, whether there is a small pustule on the nose and a pustule in the pustule Nose hair.
2, direct smear of pus: Gram stain can be found in pathogenic microorganisms, stubborn cases need to be used for bacterial culture and drug sensitivity experiments.
3, histopathology is acute pustular inflammation in the hair follicle area, chronic lymphocytes, plasma cells and tissue cell infiltration can occur.
Diagnosis
Diagnosis and identification of nasal penetrating folliculitis
According to the clinical manifestations: initial pain in the nasal cavity, small pustules around the hair follicles at the base of the nasal hair, the posterior folliculitis infiltrates deep, penetrates the skin and produces small pustules on the nose, and the pustules contain infected nasal hair. You can diagnose.
TCM pathogenesis and syndrome differentiation: This disease is similar to the nasal sore of Chinese medicine. For example, the "Nasal Diseases" nasal sore records: "The nose is the lung, the lungs are in the nose, the dirt is hot, the air is rushing. In the nose, so the sore is also ". Chinese medicine believes that the heat of the lungs and stomach is caused by the nose.
Differential diagnosis:
Nasal epithelioma: no primary damage to deep folliculitis of the nasal hair.
