Spread and recurring infundibulofoliculitis

What is dissemination and recurrent infundibulofolliculitis?

Disseminated and recurrent infundibulofolliculitis (DRIF) is a rare itch follicular skin condition of unknown cause that occurs primarily in people of African descent.

It is also known as 'Hitch and Lund disease' after the couple who first described this condition in 1968.

What are the clinical characteristics of disseminated and recurrent infundibulofolliculitis?

Recurrent and disseminated infundibulofolliculitis usually presents as a extended, slightly itchy, follicular eruption. It has been described as “goosebumps through a magnifying glass.”

The rash is slightly pink, often with a brownish color, pigmented edge. The torso, neck and arms are the most affected.

Spread and recurring infundibulofoliculitis It is mainly found in young and healthy people with dark skin color and is more common in people with heat, damp climates

What are the histological findings of disseminated and recurrent infundibulofolliculitis?

A skin biopsy can be taken to aid in diagnosis. exist edema and lymphocytic infiltration about infundibulum and basal region of the hair follicle. There is widening and proliferation of cells at the top of the follicle with varying amounts of scale training. Direct skin biopsy immunofluorescence The test is negative, since antibodies It cannot be detected around the hair follicle.

What is the treatment for disseminated and recurrent infundibulofolliculitis?

There is little response to currentintralesional or systemic antibiotic steroids such as doxycycline; or antihistamines

There are reports of improvement with oral vitamin A, isotretinoin, and PUVA. Some patients may find relief by cooling and calming themselves. emollients.

Which is the forecast to spread and recurrent infundibulofolliculitis?

Apart from its appearance and in some, the itching, there are no serious consequences of this rash. Despite the name, not everyone has recurring episodes, as a persistent rash is more common. It usually resolves itself after a few years.