Secchi T, Balme B, Thomas L, Viornery P, Moulin G
Service de Dermatologie, Hôpital de l'Antiquaille, Lyon.
Ann Dermatol Venereol. 1994;121(6-7):479-81.
Tufted hair folliculitis is a localized scarring bacterial folliculitis due to Staphylococcus aureus. We present two cases.
Both patients were in their thirties. The first had had an inflammatory sclerous lesion of the vertex for three years, and the second an alopecial scarring lesion. Clinically there were tufts of hair within or around the lesions. Staphylococcus aureus was found in biopsy samples which showed hairs or composed follicles. Prolonged treatment with oral antibiotics led to progressive limitation of the lesions.
Tufted hair folliculitis is a characteristic folliculitis of the scalp showing scar formation and the presence of Staphylococcus aureus. The review of the literature raises the question of the role of local immunity and the nature of the hair tufts: primary anomaly or secondary to Staphylococcus infection? The therapeutic attitude is not well defined but prolonged treatment with oral antibiotics can stabilize the lesions.
簇状毛发毛囊炎是一种由金黄色葡萄球菌引起的局限性瘢痕性细菌性毛囊炎。我们报告两例病例。
两名患者均为三十多岁。第一例患者头顶出现炎性硬结性病变已三年，第二例患者有瘢痕性脱发病变。临床上，病变内部或周围有一簇簇毛发。活检样本中发现了金黄色葡萄球菌，样本显示有毛发或组成毛囊。口服抗生素的长期治疗导致病变逐渐局限。
簇状毛发毛囊炎是头皮的一种特征性毛囊炎，表现为瘢痕形成并存在金黄色葡萄球菌。文献回顾提出了局部免疫的作用以及毛发簇的性质问题：是原发性异常还是继发于葡萄球菌感染？治疗方法尚不明确，但口服抗生素的长期治疗可使病变稳定。
