Dermoscopy: a useful tool for assisting the diagnosis of Pseudomonas folliculitis

“…27 Moreover, we have performed dermoscopy for all patients, as dermoscopy has been reported to be highly accurate in diagnosing various types of folliculitis. 2,[20][21][22] We have also demonstrated eosinophilia for all patients.…”

Section: Commentmentioning

confidence: 68%

“…In a proposed diagnostic and therapeutic algorithm, it was stated that if biopsy was not feasible, topical or systemic indomethacin can be used as a diagnostic therapy 27 . Moreover, we have performed dermoscopy for all patients, as dermoscopy has been reported to be highly accurate in diagnosing various types of folliculitis 2,20–22 . We have also demonstrated eosinophilia for all patients.…”

Section: Commentmentioning

confidence: 83%

“…Dermoscopy has been reported to endorse high accuracy in differentiating the various types of folliculitis 3,22–24 . We documented the most severely attacked parts of skin showing inflamed perifollicular and interfollicular vasculatures (Figs.…”

Section: Commentmentioning

confidence: 86%

“…Dermoscopy has been reported to endorse high accuracy in differentiating the various types of folliculitis. 3,[22][23][24] We docu- The study subjects were male-predominant and around 20-22 years younger than other patients with EF. This was because young and fit males were more willing to perform sanitation services.…”

Section: Commentmentioning

confidence: 92%

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Eosinophilic folliculitis due to wearing protective gear in citizens volunteering for sanitation services during the COVID‐19 pandemic – an original epidemiological, clinical, dermoscopic, and laboratory‐based study

Chuh

2020

Int J Dermatology

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Background An association between wearing protective gear and eosinophilic folliculitis has not been reported. We aimed to investigate such during the COVID-19 pandemic. Methods In three outpatient clinics, we hand-reviewed records of all patients having consulted us during a Study Period (90 days) in the early phase of the pandemic. Our inclusion criteria for Study Subjects were: (i) clear clinical diagnosis, (ii) dermoscopic confirmation, (iii) differential diagnoses excluded, (iv) eosinophilia, (v) protective gear worn during sanitation services, (vi) temporal correlation, (vii) distributional correlation, (viii) physician-assessed association, and (ix) patient-assessed association. Control Periods in the same season were elected. Results Twenty-five study subjects fulfilled all inclusion criteria. The incidence was significantly higher than in the control periods (IR: 3.57, 95% CI: 1.79-7.43). Male predominance was significant (P < 0.001). Such for patients in the control periods were insignificant. Study subjects were 21.2 (95% CI: 11.0-31.4) years younger than patients in the control periods. For the study subjects, the distribution of erythematous or skin-colored folliculocentric dome-shaped papules and pustules were all compatible with body parts covered by the gear. Lesional biopsy performed on two patients revealed eosinophilic dermal infiltrates within and around the pilosebaceous units. Polarized dermoscopy revealed folliculitis with peri-/interfollicular vascular proliferation. Lesion onsets were 6.4 (SD: 2.1) days after wearing gear. Remissions were 16.7 (SD: 7.5) days after ceasing to wear gear and treatments. Conclusions Wearing protective gear in volunteered sanitizing works could be associated with eosinophilic folliculitis. Owing to the significant temporal and distributional correlations, the association might be causal.

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Dermoscopy of Bacterial, Viral, and Fungal Skin Infections: A Systematic Review of the Literature

Chauhan

Meena

Errichetti

2022

Dermatol Ther (Heidelb)

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Over the last three decades, the use of dermoscopy has been extended to inflammatory and infectious dermatoses. Regarding the latter, while the first applications concerned skin parasitoses, there has been a significant increase in the publication trend regarding nonparasitic dermatoses over recent years, yet data on this topic are sparse and often lack a standardized analytical approach. This systematic literature review summarizes published data on dermoscopy of bacterial, viral, and fungal dermatoses (dermoscopic findings, used setting, pathological correlation, and level of evidence of studies) and provides a homogeneous terminology of reported dermoscopic features according to a standardized methodology. A total of 152 papers addressing 43 different dermatoses and describing 184 different dermoscopic findings were included in the analysis. The majority of them displayed a level of evidence of V (107 single case reports and 40 case series), with only 5 studies showing a level of evidence of IV (case–control studies). Moreover, our analysis also underlined a high variability in the terminology used in published articles (even for the same dermatosis). Therefore, despite significant potential, future studies designed according to a systematic and standardized approach are required for a better characterization of dermoscopy of nonparasitic skin infections. Supplementary Information The online version contains supplementary material available at 10.1007/s13555-022-00855-2.

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Dermoscopy: a useful tool for assisting the diagnosis of Pseudomonas folliculitis

Abstract: This report describes the usefulness of dermoscopy as a supportive diagnostic tool in a pseudomonas folliculitis case.

Cited by 5 publications

References 8 publications

Entodermoscopy update: A contemporary review on dermoscopy of cutaneous infections and infestations

Entodermoscopy update: A contemporary review on dermoscopy of cutaneous infections and infestations

Eosinophilic folliculitis due to wearing protective gear in citizens volunteering for sanitation services during the COVID‐19 pandemic – an original epidemiological, clinical, dermoscopic, and laboratory‐based study

Dermoscopy of Bacterial, Viral, and Fungal Skin Infections: A Systematic Review of the Literature

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