Sycosis vulgaris

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Sycosis vulgaris
Synonyms	Barber's itch, Sycosis barbae
Pronounce	N/A
Specialty	N/A
Symptoms	Pustules, papules, erythema, itching
Complications	Scarring, folliculitis
Onset	Typically in adulthood
Duration	Chronic
Types	N/A
Causes	Staphylococcus aureus infection
Risks	Shaving, poor hygiene, immunosuppression
Diagnosis	Clinical diagnosis, bacterial culture
Differential diagnosis	Acne, tinea barbae, pseudofolliculitis barbae
Prevention	N/A
Treatment	Antibiotics, topical antiseptics, improved shaving techniques
Medication	Mupirocin, clindamycin, cephalexin
Prognosis	N/A
Frequency	Common in men who shave
Deaths	N/A

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

See also

• Folliculitis
• Staphylococcal infections
• Dermatology