Disseminate and Recurrent Infundibular Folliculitis Treatment & Management
- Author: Stephen W White, MD; Chief Editor: Dirk M Elston, MD more...
Medical Care
- Cooling, soothing emollients have been used for 30 years, with variable success, in disseminate and recurrent infundibular folliculitis (DRIF).
- Corticosteroids have not been demonstrated effective, with the exception of a single case report by Hinds and Heald using potent topical corticosteroids.[3]
- In 1999, Ruvikumar et al reported that psoralen plus ultraviolet light A (PUVA) therapy was successful in disseminate and recurrent infundibular folliculitis.[4]
- In 1998 and again in 2004, Aroni et al reported successful treatment of disseminate and recurrent infundibular folliculitis with isotretinoin.[5]
Consultations
Although unfamiliar to generalists, dermatologists should recognize disseminate and recurrent infundibular folliculitis.
Activity
Limiting activity under hot, moist conditions may be necessary to prevent or relieve symptoms of disseminate and recurrent infundibular folliculitis.
Hitch JM, Lund HZ. Disseminate and recurrent infundibulo-folliculitis: report of a case. Arch Dermatol. Apr 1968;97(4):432-5. [Medline].
Barriere H, Litoux P, Bureau B, Stalder JF. [Disseminate and recurrent infundibulo-folliculitis (Hitch and Lund)]. Ann Dermatol Venereol. Apr 1980;107(4):299-302. [Medline].
Hinds GA, Heald PW. A case of disseminate and recurrent infundibulofolliculitis responsive to treatment with topical steroids. Dermatol Online J. Nov 15 2008;14(11):11. [Medline].
Ravikumar BC, Balachandran C, Shenoi SD, Sabitha L, Ramnarayan K. Disseminate and recurrent infundibulofolliculitis: response to psoralen plus UVA therapy. Int J Dermatol. Jan 1999;38(1):75-6. [Medline].
Aroni K, Grapsa A, Agapitos E. Disseminate and recurrent infundibulofolliculitis: response to isotretinoin. J Drugs Dermatol. Jul-Aug 2004;3(4):434-5. [Medline].
Owen WR, Wood C. Disseminate and recurrent infundibulofolliculitis. Arch Dermatol. Feb 1979;115(2):174-5. [Medline].
El Shabrawi-Caelen L, Soyer HP. Clinical Pathologic Challenge: Patchy pityriasiform lichenoid eczema. Am J Dermatopathol. Jun 2005;27(3):216, 258.
White SW, Rodman OG. Disseminate and recurrent infundibulofolliculitis. J Assoc Military Dermatol. 1981;22-23.

