- Beth G Goldstein, MD
Beth G Goldstein, MD
- Adjunct Clinical Assistant Professor
- Department of Dermatology
- University of North Carolina at Chapel Hill
- Adam O Goldstein, MD, MPH
Adam O Goldstein, MD, MPH
- Department of Family Medicine
- University of North Carolina at Chapel Hill
- Section Editors
- Robert P Dellavalle, MD, PhD, MSPH
Robert P Dellavalle, MD, PhD, MSPH
- Section Editor — Dermatology
- Professor of Dermatology and Public Health
- Denver VA Medical Center, University of Colorado School of Medicine and Colorado School of Public Health
- Mark V Dahl, MD
Mark V Dahl, MD
- Section Editor — Acne and Rosacea
- Professor Emeritus
- Mayo Clinic College of Medicine
Pseudofolliculitis barbae (pseudofolliculitis of the beard), often colloquially referred to as "razor bumps," "shave bumps," or "ingrown hairs," is a common cutaneous condition that develops as a result of the removal of facial hair. Pseudofolliculitis barbae most frequently occurs in association with shaving and results from an inflammatory response to the cutaneous entrapment of recently cut, short hairs.
Pseudofolliculitis barbae typically presents with firm papules and pustules in the beard area. The appearance of the disorder can be cosmetically distressing for affected patients. Postinflammatory hyperpigmentation, secondary bacterial infection, scarring, and keloid formation are potential complications.
The pathogenesis, diagnosis, and management of pseudofolliculitis barbae will be reviewed here.
Pseudofolliculitis barbae is most prevalent in black men. Between 45 and 83 percent of black men and 3 percent of white men who shave facial hair develop pseudofolliculitis barbae [1,2]. Women who remove facial hair also may develop the condition.
While the cheeks and neck are the most common sites of pseudofolliculitis, the condition can occur in any hairy area. Individuals who remove hair from sites such as the axilla, pubic area, and legs may develop pseudofolliculitis in these areas .
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- CLINICAL FEATURES AND DIAGNOSIS
- Differential diagnosis
- Approach to therapy
- Preventive measures
- - Cessation of shaving
- - Alternative hair removal techniques
- Adjustments to shaving routine
- Electric clippers
- - Long-term hair reduction
- Laser hair removal
- Adjunctive medical therapy
- SUMMARY AND RECOMMENDATIONS