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INTRODUCTION

KEY POINTS

  • Folliculitis can occur anywhere on the body secondary to various infectious etiologies.

  • It can present with various papular morphologies including flat topped, pinpoint, umbilciated, and nodular.

  • Clinically on lighter skin it presents with pink to red papules while on darker skin these papules can be pink to pink brown to violaceous to dark brown. Both skin types can also present with pustules.

  • In darker skin, it can also resolve with postinflamammatory hyperpigmentation.

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FIGURE 22-1.

Perifollicular pink papules surrounded by brown macules signifying postinflammatory hyperpigmentation on the abdomen of a Hispanic man. Note on the left mid-abdomen the brown papules with surrounding brown pigmentation signifying resolving inflammatory papules with background postinflammatory changes. (From Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 41-1B. Reproduced with permission from the Ronald O. Perelman Department of Dermatology, New York University School of Medicine, NYU Langone Medical Center, New York.)

FIGURE 22-2.

Distinct bright-pink perifollicular papules on the abdomen. Note the lack of background pigmentary change. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 3-16.)

FIGURE 22-3.

Perifollicular violaceous brown papules with a background of brown hyperpigmentation on the suprapubic region of a Black male. Note the more visible erythema of the excoriated papule located superiorly. (Reproduced with permission from Taylor SC, Kelly AP, Lim HW, et al. Taylor and Kelly’s Dermatology for Skin of Color, 2nd ed. New York, NY: McGraw Hill; 2016, Figure 39-2.)

FIGURE 22-4.

Magenta and red papules and macules scattered along the lateral buttock and posterior thigh from an infectious folliculitis. (Reproduced with permission from Wolff K, Johnson RA, Saavedra AP, et al. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 8th ed. New York, NY: McGraw Hill; 2017, Figure 25-18.)

FIGURE 22-5.

Scattered skin-colored papules and pustules on the anterior chest of a dark-skinned person who has ill-defined background brown pigmentary change. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 161-13A.)

FIGURE 22-6.

Distinct, scattered violaceous papules along the shoulder of a dark-skinned person, signifying early, active folliculitis prior to the onset of any postinflammatory pigment changes. (From Usatine RP, Smith MA, Mayeaux EJ Jr, et al. The Color Atlas and Synopsis of Family Medicine, 3rd ed. New York, NY: McGraw Hill; 2019, Figure 123-3. Reproduced ...

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