Barrera-Godínez Alejandro, Figueroa-Ramos Grecia
Department of Dermatology, Instituto Nacional de Ciencias Médicas Y Nutrición Salvador Zubirán, Vasco de Quiroga 15 Colonia Belisario Domínguez Sección XVI, Tlalpan, 14080 Mexico City, Mexico.
Curr Fungal Infect Rep. 2023;17(1):71-76. doi: 10.1007/s12281-023-00450-8. Epub 2023 Jan 31.
To review recent literature on folliculitis and explore its association with COVID-19.
Reports of folliculitis in the setting of COVID-19 are scarce. Shared characteristics between affected individuals include male sex, obesity, intensive care, and administration of systemic antibiotics and systemic steroids. Dexamethasone can potentially stimulate sebum production and therefore lead to proliferation. The clinical picture of folliculitis accompanying COVID-19 is similar to classic descriptions but tends to spare the face and predominates in occlusion sites.
folliculitis is under-recognized. Fever, sweating, occlusion, immobility, antibiotics, and dexamethasone contribute to COVID-19 patients developing folliculitis. Antifungal therapy, together with correcting predisposing factors, is the mainstay of management. Future research should explore the relationship between systemic steroids and other acneiform reactions.
回顾近期关于毛囊炎的文献,并探讨其与 COVID-19 的关联。
COVID-19 背景下毛囊炎的报告很少。受影响个体的共同特征包括男性、肥胖、重症监护以及全身使用抗生素和全身使用类固醇。地塞米松可能会刺激皮脂分泌,从而导致增殖。COVID-19 伴发的毛囊炎临床表现与经典描述相似,但往往不累及面部,且在闭塞部位更为常见。
毛囊炎未得到充分认识。发热、出汗、闭塞、活动受限、使用抗生素和地塞米松会促使 COVID-19 患者发生毛囊炎。抗真菌治疗以及纠正诱发因素是主要治疗方法。未来研究应探索全身使用类固醇与其他痤疮样反应之间的关系。