Halder, 1988  Title: Pseudofolliculitis barbae and related
disorders.
Author: Halder RM
Journal: Dermatol Clin 1988 Jul;6(3):407-12
PMID: 3048823, UI: 89003813
Affiliated institution: Howard University
College of Medicine, Washington, D.C.
Pseudofolliculitis barbae, although not a serious medical problem,
is certainly a distressing one for the affected patient. Its pathogenesis
lies in an ingrown hair arising from the curved hair and follicle
common in black men and women. Improper shaving techniques cause
ingrown hairs through both transfollicular and extrafollicular
mechanisms. Various treatment modalities exist, but there is no
cure. Treatment must be individualized, as not all regimens will
work for each patient. With diligence, pseudofolliculitis barbae
can in many instances be controlled. Dermatitis papillaris capillitii
is related to pseudofolliculitis barbae because its pathogenesis
also lies in a curved hair and follicle. The treatment differs,
however. Mild to moderately severe cases can be kept under good
control with intralesional injections of steroid and a topical
chloramphenicol and steroid cream mixture. Scarred or keloidal
lesions may require surgery.
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