Penetrating abscess head folliculitis and perifolliculitis
Introduction
Introduction of perforating abscess hair folliculitis and inflammation around the hair follicle Excision of abscessive head folliculitis and inflammation around the hair follicle (folliculitisetperifolliculitiscapitisabscedensetsuffodiens), the majority of the accumulation of folliculitis and inflammation around the hair follicles in the deep fusion, interpenetrating, forming an abscess. Most of them are Staphylococcus aureus and streptococcal infections, and most of the gathered folliculitis and inflammation around the hair follicles are deep in the fusion, forming an abscess. basic knowledge The proportion of illness: 0.004%-0.007% Susceptible people: no specific people Mode of infection: non-infectious Complications: pustules
Cause
Excision of abscessive head folliculitis and inflammation around the hair follicle
Etiology and pathogenesis:
Mostly Staphylococcus aureus and Streptococcus. The majority of the gathered folliculitis and inflammation around the hair follicles are deep in the fusion, interpenetrating, forming an abscess.
Traditional Chinese medicine believes that due to the weakness of the body, the defender is not solid, the complex sense of rheumatism and heat, confounded in the muscles, long-term heat, meat rot into pus, sepsis and phlegm, interpenetrating, and it is caused by perforating abscess head folliculitis and Inflammation around the hair follicles.
Prevention
Excision of abscessive head folliculitis and prevention of inflammation around the hair follicle
1. In the units prone to pyoderma (such as some factories, agricultural machinery stations, primary schools, etc.), extensive publicity and education on the prevention and treatment of suppurative skin diseases, regular preventive inspections, as far as possible to eliminate all factors.
2. Pay attention to skin hygiene, strengthen physical exercise and increase skin resistance.
3. Maintain the integrity of skin function. For skin diseases, especially pruritic skin diseases, timely treatment should be carried out to prevent skin damage and avoid irritation such as scratching and skin friction.
4. Clothes, towels, basins, etc. are prohibited from public use to prevent contact with infection. The patient should be properly isolated. The dressings and contact materials used by the patient should be strictly disinfected or burned. During the illness, it is forbidden to use the liquid to clean the skin lesions. Wash the affected area with tap water to prevent extension.
5. When you are sick, you should ban alcohol or spicy food, and eat less food.
Complication
Excision of abscessive head folliculitis and complications of inflammation around the hair follicle Complications
The disease is damaged by skin inflammation and the integrity of the skin is destroyed. Therefore, it may be caused by bacterial infection or fungal infection caused by scratching, usually secondary to low body constitution, or long-term use of immunosuppressive agents and fungal infections such as onychomycosis. Concurrent bacterial infections may have symptoms such as fever, swelling of the skin, ulceration, and purulent secretion. Severe cases can lead to sepsis, which should be brought to the attention of clinicians.
Symptom
Wearing an abscessive head folliculitis and inflammation around the hair follicle Common symptoms Hair sparse abscess low heat moss yellow greasy
The initial hair folliculitis is limited to the scalp, secondary inflammation around the hair follicles, gradually forming a deep interseptal cavity, the surface of which is broad bean to walnut size abscess, the oppressed surface can exude pus from most pores (sieving pus) It occurs in middle-aged men, and the condition is stubborn. After a slow period, it tends to recur. The hair in the lesion is scarce, and the atrophic scar and irregular discoloration are left after the cure.
It is easy to diagnose according to clinical manifestations and histopathology.
Examine
Excision of abscessive head folliculitis and inflammation around the hair follicle
Excision of abscessive head folliculitis and inflammation around the hair follicles: blood smear, skin smear microscopy, fungal histopathology, brain CT examination, brain MRI examination.
Skin smear microscopy is an examination of blood, urine, cerebrospinal fluid, pleural fluid, pericardial fluid, and peritoneal fluid for the presence of bacteria. It can diagnose skin diseases caused by streptococci, staphylococcus, anthrax, leprosy, tuberculosis, various fungal infections, amoeba, kala-azar, filariasis, acne, aphids and the like. Skin smear microscopy normal values: normal people were negative.
The early damage is folliculitis and inflammation around the hair follicle. There are neutrophils, lymphocytes and tissue cells extensively infiltrating, granulation tissue is formed, and foreign bodies giant cells are sometimes seen in the residual hair follicles.
Diagnosis
Diagnosis and identification of perforated abscess hair folliculitis and inflammation around the hair follicle
TCM diagnosis
TCM pathogenesis and syndrome differentiation:
1. Pathogenesis: Chinese medicine believes that this disease is mostly due to the weakness of the body, the defender is not solid, the complex sense of rheumatic fever, the accumulation of muscle, long-term heat, meat rot into pus, sepsis, pervasive, interpenetrating, hair-based disease.
2. Dialectical analysis: recurrent episodes of disease, this volts and volts, interpenetrating, occasionally low fever, less food, poor appetite, dry mouth, pale tongue, yellow greasy moss, slippery pulse, syndrome is not enough, hot poison Knot.
Differential diagnosis
1. Alopecia folliculitis: more violations of children, damage is small and scattered, inflammation is not significant, no chiseling phenomenon.
2. Pillow papillary dermatitis: folliculitis confined to the posterior occipital region of the neck, no fusion, no chiseling, and a papillary scar.
