Papulpustular dermatoses of the face, clinicopathological spectrum and response to treatment

Safa S Elfaituri *

Department OF dermatology, Faculty of Medicine, Benghazi University, Libya.
 
Research Article
Magna Scientia Advanced Research and Reviews, 2023, 08(01), 128–140
Article DOI: 10.30574/msarr.2023.8.1.0080
Publication history: 
Received on 27 April 2023; revised on 07 June 2023; accepted on 10 June 2023
 
Abstract: 
The papulopustular rash on face may be a feature of several inflammatory skin disorders. Clinical features may provide clue to the etiology whereas microbiological testing and histopathologic examination confirm the diagnosis. In adults, facial papulopustular dermatoses include rosacea, perioral dermatitis, eosinophilic folliculitis, infections and medication induced. Our aim was to study variable causes of papulopustular lesions of the face. We conducted a prospective study which included 60 dermatology outpatient clinic patients of variable age groups whom presented with papulopustular lesions involving the face and review their clinicopathological findings as well as their response to therapy.
Several diseases were reported including rosacea (47%), demodecosis (20%), bacterial folliculitis (13%), drug induced (7%) and periorificial dermatitis (3%). One case of tinea barbae, pityriosporum folliculitis, eosinophilic folliculitis, lupus miliaris disseminatus faciei, Behcet's disease and perforating folliculitis were reported.
In conclusions; Papulopustular dermatoses involving the face are an important problem among dermatology patients with an overlapping in signs and symptoms. Awareness of various causes and their clincopathological features is important for accurate diagnosis and proper management.
 
Keywords: 
folliculitis; acneiform; rosacea; demodicosis; drug-induced; face
 
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