Actinic folliculitis
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Synopsis

Actinic folliculitis is a rare pustular dermatosis triggered by sun exposure. The eruption appears within 4-24 hours of sun exposure, typically on the face but sometimes on the arms, back, and upper chest as well. It usually resolves in 7-10 days, but it can take up to 3 weeks to resolve. Cases typically occur in the spring, and recurrence with repeat sun exposure is common, although the phenomenon of hardening has been reported.
This condition is usually reported in patients aged 17-42 years. It encompasses the previously reported diagnoses of acne aestivalis and actinic superficial folliculitis. Pathogenetically, it is thought that ultraviolet A (UVA) induces epidermal, including infundibular, thickening and follicular occlusion.
This condition is usually reported in patients aged 17-42 years. It encompasses the previously reported diagnoses of acne aestivalis and actinic superficial folliculitis. Pathogenetically, it is thought that ultraviolet A (UVA) induces epidermal, including infundibular, thickening and follicular occlusion.
Codes
ICD10CM:
L73.9 – Follicular disorder, unspecified
SNOMEDCT:
238529007 – Actinic folliculitis
L73.9 – Follicular disorder, unspecified
SNOMEDCT:
238529007 – Actinic folliculitis
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Differential Diagnosis & Pitfalls
- Acne vulgaris
- Papulopustular rosacea
- Bacterial folliculitis
- Pityrosporum folliculitis
- Eosinophilic pustular folliculitis
- Herpes simplex virus (HSV) folliculitis
- Pinpoint papular light eruption
- Acute localized exanthematous pustulosis (see acute generalized exanthematous pustulosis)
- Pustular psoriasis
- Photoallergic reaction
- Steroid acne
- Periorificial dermatitis
- Keratosis pilaris atrophicans faciei
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Last Reviewed:05/29/2022
Last Updated:05/30/2022
Last Updated:05/30/2022