For 3 years, my 30-year-old patient has had outbreaks of small, vesicular, frequently pruritic lesions on the neck and upper trunk (Figure). It occurs when the hair follicles become irritated and an infection then sets in. http://www.aocd.org/skin/dermatologic_diseases/folliculitis.html. In the U.S., Malassezia organisms can be found on the skin in 75-98% of healthy people, even higher numbers of the yeast are present on the chest and back. Folliculitis develops when bacteria or fungi enter the body through a break in the skin near a hair follicle. If you have a prob in the diabetes range – no way is that second test going to show a normal reading. Treatment Bacterial folliculitis may disappear without treatment, but is likely to recur.
Treatment usually involves topical antifungals; however, these agents may not penetrate deep enough into the follicles to act on the organism, and oral agents may be required. Pseudofolliculitis barbae (PFB) occurs when the inflammation is strictly