management
Last reviewed 01/2018
- management involves avoiding a close shave, advising the patient to shave
in the direction of the hair growth, growing a beard, use of chemical depilatories
(1) - however often these treatment options achieve only short-lived improvement
in the condition (2)
- topical retinoic acid used alone, or in combination with a mild topical
steroid, can sometimes be of benefit
- physical modalities such as electrolysis have also been used in the treatment
- but this technique can cause pigmentation abnormalities, scarring,
and residual keratin abscesses from fragmentary destruction of the hair
follicle (2)
- but this technique can cause pigmentation abnormalities, scarring,
and residual keratin abscesses from fragmentary destruction of the hair
follicle (2)
- only definitive cure for this condition is permanent removal of the hair
follicle
- laser hair removal with a variety of laser systems [diode (800-810 nm), pulsed Alexandrite (755 nm), Neodymium:Yttrium Aluminum Garnet (Nd:YAG (1064 nm), and pulsed non coherent light source have been used (3)
Reference:
- Practitioner (1998), 242, 292-6.
- Halder RM. Pseudofolliculitis barbae and related disorders. Dermatol Clin. 1988;6:407-12.
- Perry PK, Cook-Bolden FE, Rahman Z, Jones E, Taylor SC. Defining pseudofolliculitis barbae in 2001: A review of the literature and current trends. J Am Acad Dermatol. 2002;46:S113-9
- Bolognia JL, Jorizzo JL, Schaffer JV. Dermatology. 3rd ed. New York: Saunders; 2012.