Article information
Abstract
Pseudofolliculitis barbae is a chronic, irritating, and potentially disfiguring condition that develops as a result of attempts to eliminate hair from the beard area, usually by shaving. It is difficult to determine the incidence of the disorder, but some studies report that it affects up to 1 of every 5 caucasian individuals and that it is much more common in black persons. Clinically it is characterized by the appearance of inflammatory papules and pustules. Once pseudofolliculitis has become established, treatment consists of avoiding shaving and the use of medical treatment similar to that used in acne. However, the long-term result is much more dependent on prevention through a correct shaving technique. In severe cases or when a definitive solution is sought, the treatment of choice is photodepilation.
Keywords:
Pseudofolliculitis
Photodepilation
Eflornitine
Benzoyl peroxide
Acne treatment
Resumen
La pseudofoliculitis de la barba es un proceso crónico, molesto y potencialmente desfigurante que aparece como consecuencia de los procedimientos destinados a la eliminación del pelo de la zona, fundamentalmente el afeitado. Es difícil establecer la incidencia de este trastorno, pero algunos estudios apuntan a que afecta a casi uno de cada cinco individuos de raza blanca siendo mucho más frecuente en la raza negra. Desde el punto de vista clínico se caracteriza por la aparición de pápulas inflamatorias y pústulas. Cuando la pseudofoliculitis ya se ha instaurado el tratamiento consiste en la abstención del afeitado y tratamiento médico similar al que se utiliza para el acné. Sin embargo, para obtener resultados duraderos es mucho más importante la prevención mediante una técnica de afeitado correcta. A pesar de todo ello, en los casos graves o cuando se desea una solución definitiva, la fotodepilación constituye el tratamiento de elección.
Palabras clave:
Pseudofoliculitis
Fotodepilación
Eflornitina
Peróxido de benzoílo
Tratamiento acné
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References
[1.]
M.S. Conte, J.E. Lawrence.
Pseudofolliculitis barbae: No ‘pseudoproblem’.
JAMA, 241 (1979), pp. 53-54
[3.]
P.K. Perry, F.E. Cook-Bolden, Z. Rahman, E. Jones, S.C. Taylor.
Defining pseudofolliculitis barbae in 2001: a review of the literature and current trends.
J Am Acad Dermatol, 46 (2002), pp. s113-s119
[5.]
M. Steggerda, H.C. Seibert.
Size and shape of head hairs from six racial groups.
J Hered, 32 (1942), pp. 315-318
[6.]
A.M. Kligman, J.S. Strauss.
Pseudofolliculitis of the beard.
Arch Dermatol, 74 (1956), pp. 533-542
[7.]
G.J. Brauner, K.L. Flandermeyer.
Pseudofolliculitis barbae. Medical consequences of interracial friction in the US Army.
Cutis, 23 (1979), pp. 61-66
[8.]
A.M. Allen.
Skin diseases in Vietnam 1965-72.
pp. 129-131
[9.]
J.E. Sattgast.
Pseudofolliculitis—a dilemma for the Army.
Med Bull US Army Eur, 39 (1982), pp. 3-11
[10.]
A.M. Alexander, W.I. Alexander.
Pseudofolliculitis barbae in the military. A medical, administrative and social problem.
J Natl Med Assoc, 66 (1974), pp. 459-464
[11.]
W.H.I. McLean.
Close shave for a keratin disorder—K6hf polymorphism linked to pseudofolliculitis barbae.
J Invest Dermatol, 122 (2004), pp. x-xiii
[12.]
E. Tolgyesi, D.W. Coble, F.S. Fang, E.O. Kairinen.
A comparative study of beard and scalp hair.
J Soc Cosmet Chem, 34 (1983), pp. 361-362
[13.]
L.A. Brown.
Pathogenesis and treatment of pseudofolliculitis barbae.
Cutis, 32 (1983), pp. 373-375
[14.]
J.S. Strauss, A.M. Klingman.
Pseudofolliculitis of the beard.
Arch Dermatol, 74 (1956), pp. 533-542
[15.]
H. Winter, D. Schissel.
An unusual Ala12Thr polymorphism in the 1A alpha-helical segment of the companion layer-specific keratin K6hf: evidence for a risk factor in the etiology of the common hair disorder pseudofolliculitis barbae.
J Invest Dermatol, 122 (2004), pp. 652-657
[16.]
H. Winter, L. Langbein, S. Praetzel, M. Jacobs, M.A. Rogers, I.M. Leigh, et al.
A novel human type II cytokeratin, K6hf, specifically expressed in the companion layer of the hair follicle.
J Invest Dermatol, 111 (1998), pp. 955-962
[17.]
E.V. Ross, L.A. Evans, J.K. Yeager.
Pseudofolliculitis barbae associated with an unusual hair whorl.
Cutis, 51 (1993), pp. 107-108
[20.]
R.L. García, J.W. White.
Pseudofolliculitis barbae in a woman.
Arch Dermatol, 114 (1978), pp. 1856
[22.]
S.W. White, O.G. Rodman.
Pseudofolliculitis vibrissa.
Arch Dermatol, 117 (1981), pp. 368-369
[24.]
J.R. Tkach, J.R. Shannon, R. Beastrom.
Pseudofolliculitis due to preoperative shaving.
AORN J, 30 (1979), pp. 881-884
[25.]
J.M. Lachappelle, D. Tennstedt, P. Cromphaut.
Pseudofolliculitis of the beard and “fiddler's neck” (letter).
Contact Dermatol, 7 (1982), pp. 247
[26.]
A.A. Fisher.
Dermatitis in a musician. Part III: Injuries caused by specific musical instruments.
Cutis, 62 (1998), pp. 261-262
[27.]
J. Lear, J.F. Bourke, D.A. Burns.
Hyperplastic pseudofolliculitis barbae associated with cyclosporin.
Br J Dermatol, 136 (1997), pp. 132-133
[28.]
A. Lally, F. Wojnarowska.
Hypertrophic pseudofolliculitis in white renal transplant recipients.
Clin Exp Dermatol, 32 (2007), pp. 268-271
[29.]
L. Barcala, J.A. Páez, S. Vidal, M.A. Sáez, C. Arjona, J.A. Heras.
Foliculitis por Candida posterior a una depilación.
Actas Dermosifiliogr, 90 (1999), pp. 241-244
[30.]
P. Zaballos, M. Ara, C. Seral, J. Rodero, M.P. Grasa, J.M. Agurruza, et al.
Foliculitis postdepilación por Mycobacterium chelonae.
Actas Dermosifiliogr, 93 (2002), pp. 259-262
[31.]
L.R. Coker, R. Swain, R. Morris, C.O. McCall.
Disseminated cryptococcosis presenting as pseudofolliculitis in an AIDS patient.
Cutis, 66 (2000), pp. 207-210
[32.]
B.H. Coquilla, C.W. Lewis.
Management of pseudofolliculitis barbae.
Mil Med, 160 (1995), pp. 263-269
[33.]
C.E. Crutchfield.
The causes and treatment of pseudofolliculitis barbae.
Cutis, 61 (1998), pp. 351-354
[34.]
R.M. Halder, G.M. Richards.
Therapeutic approaches for pseudofolliculitis barbae.
Cosmetic Dermatol, 16 (2003), pp. 42-45
[35.]
F.E. Cook-Bolden, A. Barba, R. Halder, S. Taylor.
Twice-daily applications of benzoyl peroxide 5%/clindamycin 1% gel versus vehicle in the treatment of pseudofolliculitis barbae.
Cutis, 73 (2004), pp. 18-24
[36.]
N.V. Perricone.
Treatment of pseudofolliculitis barbae with topical glycolic acid: a report of two studies.
Cutis, 52 (1993), pp. 232-235
[37.]
Goldstein BG, Goldstein AO. Available from: http://www.uptodateonline.com/. Last literature review version 17.2. [Cited May 2009. This topic last updated December 1, 2008].
[38.]
S.J. Friedman.
Treatment of steatocystoma multiplex and pseudofolliculitis barbae with isotretinoin.
Cutis, 39 (1987), pp. 506-507
[39.]
S. Bridgeman-Shah.
The medical and surgical therapy of pseudofolliculitis barbae.
Dermatol Ther, 17 (2004), pp. 158-163
[40.]
P. Serrano-Grau, A. Campo-Voegeli, D. Romero.
Fotodepilación.
Actas Dermosifiliogr, 100 (2009), pp. 351-361
[41.]
E.J. Thomas.
Lasers in Treatment of Pseudofolliculitis Barbae.
Dermatol Surg, 25 (1999), pp. 422-423
[42.]
E.F. Battle, L.M. Hobbs.
Laser-assisted hair removal for darker skin types.
Dermatol Ther, 17 (2004), pp. 177-183
[43.]
C.J. Rogers, D.A. Glaser.
Treatment of Pseudofolliculitis Barbae Using the Q-Switched Nd:YAG Laser with Topical Carbon Suspension.
Dermatol Surg, 26 (2000), pp. 737-742
[44.]
C. Nanni, R. Brancaccio, M. Cooperman.
Successful treatment of pseudofolliculitis barbae with a long pulsed alexandrite laser.
Lasers Surg Med, 11 (1999), pp. 21
[45.]
N.S. Sadick, R.A. Weiss, C.R. Shea, H. Nagel, J. Nicholson, V.G. Prieto.
Long-term photoepilation using a broad-spectrum intense pulsed light source.
Arch Dermatol, 136 (2000), pp. 1336-1340
[46.]
C.T. Chui, T.G. Berger, V.H. Price, C.B. Zachary.
Recalcitrant Scarring Follicular Disorders Treated by Laser-Assisted Hair Removal: A Preliminary Report.
Dermatol Surg, 25 (1999), pp. 34-37
[47.]
G.A. Moreno-Arias, C. Castelo-Branco, J. Ferrando.
Side-effects after IPL photoepilation.
Dermatol Surg, 28 (2002), pp. 1131-1134
[48.]
P.S. Yamauchi, G.P. Lask, A.P. Kelly.
Treatment of pseudofolliculitis barbae with the diode laser.
J Cutan Laser Ther, 1 (1999), pp. 109-111
[49.]
E.V. Ross, L.M. Cooke, A.L. Timko, K.A. Overstreet, B.S. Graham, D.J. Barnette.
Treatment of pseudofolliculitis barbae in skin types IV, V, VI with long-pulsed Neodymium:yttrium aluminum garnet laser.
J Am Acad Dermatol, 47 (2002), pp. 263-270
[50.]
R. Schultze, K.J. Meehan, A. López, K. Sweeney, D. Winstanley, W. Apruzzese, et al.
Low-fluence 1064-nm laser hair reduction for pseudofolliculitis barbae in skin types IV, V, and VI.
Dermatol Surg, 35 (2009), pp. 98-107
[51.]
P. Toosi, A. Sadighha, A. Sharifian, G.M. Razavi.
A comparison study of the efficacy and side effects of different light sources in hair removal.
Lasers Med Sci, 21 (2006), pp. 1-4
[52.]
R. Emerson, G. Town.
Hair removal with a novel, low fluence, home-use intense pulsed light device.
J Cosmet Laser Ther, 11 (2009), pp. 98-105
[53.]
J.J. Hage, F.G. Bouman.
Surgical depilation for the treatment of pseudofolliculitis barbae or local hirsutism of the face: Experience of the first 40 patients.
Plast Reconst Surg, 88 (1991), pp. 446-451
[54.]
S.R. Smith, D.J. Piacquadio, B. Beger, C. Littler.
Eflornithine cream combined with laser therapy in the management of unwanted facial hair growth in women: a randomized trial.
Dermatol Surg, 32 (2006), pp. 1237-1243
[55.]
I. Hamzavi, E. Tan, J. Shapiro, H. Lui.
A randomized bilateral vehicle-controlled study of eflornithine cream combined with laser treatment versus laser treatment alone for facial hirsutism in women.
J Am Acad Dermatol, 57 (2007), pp. 54-59
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