Chronic Folliculitis and Ulerythema Ophryogenes? Presented by Dr. F. A. Ellis and Dr. W. R. Bundick, Baltimore.
A 53-year-old white man has had an eruption which started over 20 years ago as a folliculitis involving the eyebrows, beard, and scalp. It began at the margins of the scalp and has progressively destroyed the hair, causing atrophic scarring. There has been a lack of response to local therapy, vaccines, etc. The patient has very narrow external ear canals, which are also involved. On Nov. 27, 1959, he received 450 r x-ray to a 4×5 cm. area. By Jan. 15, 1960, he showed about 80% loss of hair in the x-ray-treated area. Examination reveals follicular dermatitis involving the eyebrows, scalp, and face. The folliculitis has resulted in scarring.
Repeated cultures from ears and perifollicular pustules have shown many types of organisms: Staphylococcus aureaus, hemolytic Streptococcus, Pseudomonas, yeast, etc. Biopsy showed