Clinico-histopathological correlation of follicular skin lesions

Abstract

Introduction: Follicular skin lesions are common skin problems which are caused by inflammation and infection of the hair follicles. The objective of the study was to know the incidence of the follicular skin lesions among patients attending Dermatology department and correlate them clinically and histopathologically. Materials and Methods: This study was conducted January 2019 to June 2019. One hundred patients with follicular skin lesions were included in the study. Detailed history, clinical examination and skin biopsy for histopathology was done. In all cases clinical diagnosis was confirmed by histopathology. Results: Phrynoderma was found to be most common (42 cases) followed by Keratosis pilaris (24 cases), pityriasis rubra pilaris (8 cases), Kyrle’s (6 cases), Darier’s disease (5 cases), follicular lichen planus (4 cases), perforating folliculitis (4 cases), lichen spinulosus (2 cases), follicular psoriasis (1 case), lichen scrofulosorum (1 case). Three cases were found to be non -specific on histopathology. Phrynoderma was most common (42%) follicular skin lesion among children. Keratosis Pilaris was common in adult females whereas Darier’s disease and Kyrle’s disease in adult males. Atopy was most commonly associated with keratosis pilaris. Conclusions: The present study emphasizes the various follicular skin lesions in this geographical location. Both clinical examination and histopathology helps in differentiating different follicular skin lesions. Keywords: Follicular, Keratosis pilaris, Phrynoderma.