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Disseminate and Recurrent Infundibular Folliculitis Clinical Presentation

  • Author: Christopher R Gorman, MD; Chief Editor: William D James, MD  more...
 
Updated: Sep 23, 2015
 

History

Most patients report a sudden onset of a widespread pruritic papular eruption. Disseminate and recurrent infundibular folliculitis has been reported to be exacerbated by hot showers and relieved by anything that cools (eg, cool showers, lotions, swimming). Occasionally, a patient may report that a number of peers have been affected at the same time. Often, disseminate and recurrent infundibular folliculitis patients have a personal or family history of atopy.

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Physical

Physical examination in disseminate and recurrent infundibular folliculitis reveals a papular eruption that has a follicular location. In a given area, all the follicles are involved, with no skipping of any follicles in the area involved. The usual sites are the chest and mantle and the upper arms. Infundibular folliculitis is rather monomorphic without noted rubor, calor, and dolor.

See the images below.

Courtesy of San Antonio Uniformed Services Health Courtesy of San Antonio Uniformed Services Health Education Consortium slide files.
Courtesy of San Antonio Uniformed Services Health Courtesy of San Antonio Uniformed Services Health Education Consortium slide files.
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Causes

The exact cause of disseminate and recurrent infundibular folliculitis is unknown. The history often suggests a hot, humid environment as a precipitating cause. Once established, disseminate and recurrent infundibular folliculitis tends to persist or recur over a prolonged period.

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Contributor Information and Disclosures
Author

Christopher R Gorman, MD Avenues Dermatology, Private Practice

Christopher R Gorman, MD is a member of the following medical societies: Alpha Omega Alpha

Disclosure: Nothing to disclose.

Specialty Editor Board

Richard P Vinson, MD Assistant Clinical Professor, Department of Dermatology, Texas Tech University Health Sciences Center, Paul L Foster School of Medicine; Consulting Staff, Mountain View Dermatology, PA

Richard P Vinson, MD is a member of the following medical societies: American Academy of Dermatology, Texas Medical Association, Association of Military Dermatologists, Texas Dermatological Society

Disclosure: Nothing to disclose.

Jeffrey Meffert, MD Associate Clinical Professor of Dermatology, University of Texas School of Medicine at San Antonio

Jeffrey Meffert, MD is a member of the following medical societies: American Academy of Dermatology, American Medical Association, Association of Military Dermatologists, Texas Dermatological Society

Disclosure: Nothing to disclose.

Chief Editor

William D James, MD Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine

William D James, MD is a member of the following medical societies: American Academy of Dermatology, Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Acknowledgements

Acknowledgments

Medscape Drugs & Diseases wishes to recognize Stephen W White, MD† for his original contributions to this article.

References
  1. Hitch JM, Lund HZ. Disseminate and recurrent infundibulo-folliculitis: report of a case. Arch Dermatol. 1968 Apr. 97(4):432-5. [Medline].

  2. Barriere H, Litoux P, Bureau B, Stalder JF. [Disseminate and recurrent infundibulo-folliculitis (Hitch and Lund)]. Ann Dermatol Venereol. 1980 Apr. 107(4):299-302. [Medline].

  3. Hinds GA, Heald PW. A case of disseminate and recurrent infundibulofolliculitis responsive to treatment with topical steroids. Dermatol Online J. 2008 Nov 15. 14(11):11. [Medline].

  4. Ravikumar BC, Balachandran C, Shenoi SD, Sabitha L, Ramnarayan K. Disseminate and recurrent infundibulofolliculitis: response to psoralen plus UVA therapy. Int J Dermatol. 1999 Jan. 38(1):75-6. [Medline].

  5. Aroni K, Grapsa A, Agapitos E. Disseminate and recurrent infundibulofolliculitis: response to isotretinoin. J Drugs Dermatol. 2004 Jul-Aug. 3(4):434-5. [Medline].

  6. Owen WR, Wood C. Disseminate and recurrent infundibulofolliculitis. Arch Dermatol. 1979 Feb. 115(2):174-5. [Medline].

  7. El Shabrawi-Caelen L, Soyer HP. Clinical Pathologic Challenge: Patchy pityriasiform lichenoid eczema. Am J Dermatopathol. Jun 2005. 27(3):216, 258.

  8. White SW, Rodman OG. Disseminate and recurrent infundibulofolliculitis. J Assoc Military Dermatol. 1981. 22-23.

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Courtesy of San Antonio Uniformed Services Health Education Consortium slide files.
Courtesy of San Antonio Uniformed Services Health Education Consortium slide files.
Courtesy of San Antonio Uniformed Services Health Education Consortium slide files.
Courtesy of San Antonio Uniformed Services Health Education Consortium slide files.
Courtesy of San Antonio Uniformed Services Health Education Consortium slide files.
 
 
 
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