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Disseminate and Recurrent Infundibular Folliculitis Treatment & Management

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

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]

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Consultations

Although unfamiliar to generalists, dermatologists should recognize disseminate and recurrent infundibular folliculitis.

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Activity

Limiting activity under hot, moist conditions may be necessary to prevent or relieve symptoms of disseminate and recurrent infundibular folliculitis.

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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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