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Fungal Folliculitis

Skin Disorders in Elderly Persons: Part 5, Fungal Infections (Fungal Folliculitis)

NOAH S. SCHEINFELD, MD, JD

Fungal Folliculitis

A fungal folliculitis (Majocchi granulomas) (Figure) can occur if a superficial fungal infection is treated with topical corticosteroids. Fungal folliculitis is best treated with a short course of oral itraconazole or fluconazole.

Fungal Folliculitis

Figure – Fungal folliculitis (Majocchi granulomas) developed after a topical corticosteroid was applied to treat a presumed contact dermatitis, which was actually tinea pedis.

 

 

 

 

 

 

References

FOR MORE INFORMATION:

  • Brodell RT, Elewski B. Superficial fungal infections. Errors to avoid in diagnosis and treatment. Postgrad Med. 1997;101(4):279-287.
  • Loo DS. Onychomycosis in the elderly: drug treatment options. Drugs Aging. 2007;24:293-302.
  • Tan JS, Joseph WS. Common fungal infections of the feet in patients with diabetes mellitus. Drugs Aging. 2004;21;101-112.
  • Weinberg JM, Scheinfeld NS. Cutaneous infections in the elderly: diagnosis and management. Dermatol Ther. 2003;16:195-205.
  • Weinberg JM, Vafaie J, Scheinfeld NS. Skin infections in the elderly. Dermatol Clin. 2004;22:51-61.