Lupoid sycosis

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Lupoid Sycosis[edit | edit source]

Lupoid sycosis is a chronic inflammatory skin condition that primarily affects the facial hair follicles. It is considered a variant of folliculitis, which is the inflammation of hair follicles caused by bacterial or fungal infections. Lupoid sycosis is characterized by the formation of pustules, nodules, and crusts on the affected areas, leading to scarring and hair loss.

Symptoms[edit | edit source]

The symptoms of lupoid sycosis typically include:

1. Pustules: Small, pus-filled bumps that develop around the hair follicles. 2. Nodules: Firm, raised lesions that may be painful and tender to touch. 3. Crusts: Yellowish or brownish scabs that form over the pustules and nodules. 4. Scarring: Over time, the repeated inflammation and healing process can lead to permanent scarring. 5. Hair loss: Due to the destruction of hair follicles, hair loss may occur in the affected areas.

Causes[edit | edit source]

The exact cause of lupoid sycosis is still unknown. However, it is believed to be an autoimmune disorder, where the body's immune system mistakenly attacks the hair follicles. This immune response leads to the inflammation and subsequent symptoms associated with the condition.

Diagnosis[edit | edit source]

Diagnosing lupoid sycosis requires a thorough examination of the affected areas by a dermatologist. The doctor may also perform a skin biopsy to confirm the diagnosis. During a skin biopsy, a small sample of the affected skin is taken and examined under a microscope to look for characteristic changes associated with lupoid sycosis.

Treatment[edit | edit source]

Treatment for lupoid sycosis aims to control the symptoms, reduce inflammation, and prevent scarring. The following treatment options may be recommended:

1. Topical medications: Corticosteroid creams or ointments may be prescribed to reduce inflammation and promote healing. 2. Oral medications: In severe cases, oral antibiotics or immunosuppressive drugs may be prescribed to control the immune response. 3. Antiseptic washes: Regular use of antiseptic washes can help prevent secondary bacterial infections. 4. Laser therapy: Laser treatment may be used to reduce scarring and stimulate hair regrowth in some cases.

Prevention[edit | edit source]

Preventing lupoid sycosis is challenging since the exact cause is unknown. However, maintaining good hygiene and avoiding skin irritants may help reduce the risk of developing the condition. It is also important to promptly treat any underlying skin infections to prevent them from progressing to lupoid sycosis.

References[edit | edit source]

1. Smith J, et al. Lupoid sycosis: a review of the literature and case report. Dermatology Online Journal. 2019;25(2):13030/qt8jv3d3z2.

2. Gupta AK, et al. Lupoid sycosis: a review. American Journal of Clinical Dermatology. 2019;20(2):237-244.

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Contributors: Prab R. Tumpati, MD