Sycosis vulgaris

Sycosis Vulgaris

Sycosis vulgaris affecting the beard area

Sycosis vulgaris is a chronic inflammatory condition of the hair follicles, primarily affecting the beard area in men. It is characterized by pustular eruptions and can lead to scarring if not treated properly. This condition is often associated with bacterial infections, particularly by Staphylococcus aureus.

Pathophysiology

Sycosis vulgaris occurs when the hair follicles become infected, leading to inflammation. The infection is usually caused by bacteria that are part of the normal skin flora but can become pathogenic under certain conditions. The inflammation results in the formation of pustules and papules around the hair follicles.

Clinical Presentation

Patients with sycosis vulgaris typically present with:

• Erythematous papules and pustules around the hair follicles
• Itching and tenderness in the affected area
• Possible development of crusts and scabs
• Chronic cases may lead to scarring and permanent hair loss

Diagnosis

Diagnosis of sycosis vulgaris is primarily clinical, based on the appearance of the lesions. A skin biopsy may be performed to rule out other conditions such as tinea barbae or acne keloidalis nuchae. Bacterial cultures can help identify the causative organism.

Treatment

Treatment of sycosis vulgaris involves:

• Topical or oral antibiotics to eliminate the bacterial infection
• Good hygiene practices to prevent recurrence
• Avoidance of shaving or use of electric razors to minimize irritation
• In severe cases, corticosteroids may be prescribed to reduce inflammation

Prevention

Preventive measures include:

• Regular cleaning of the beard area
• Use of antiseptic washes
• Avoiding close shaving
• Ensuring personal grooming tools are clean

Related Pages

• Folliculitis
• Staphylococcal infections
• Dermatology