Page 156 - LECTURE NOTES
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7.3.3. Frunclosis (Boil):  Is an acute inflammation arising deep in one or more hair

               follicles and spreading in to surrounding dermis.


               It is the deeper form of folliculitis
                          ¾  Furuncles may occur any where on the body but are more prevalent at

                              areas where irritation and pressure, friction, perspiration such as the back
                              of the neck, the axially buttock.

                          ¾  Furuncle or Boil starts as small raised, painful tender, papule or nodule

                              with erythama and oedema, central pore discharging pus and commonly
                              seen in hair bearing area of the body



               Treatment: - Systemic antibiotic
                   ¾ Skin care

                   ¾  Do not squeeze or don’t apply pressure
                   ¾ Give local care


               7.3.4. Carbuncle

               Is an abscess of skin and subcutaneous tissue representing an extension of furuncle

               that has invaded several hair follicles and is larger and deeper.


               1. Cause:  Staphylococcal infection.

                   ¾ Carbuncles appears most commonly in the areas in which the skin is inelastic

                   ¾ The back of the neck and the buttock are more common sites

                   ¾ Furuncle and carbuncle usually occur in a patient with underlying diseases.
                              -Diabètes mellitus

                             - Immunosuppressive conditions


                          2.  Treatment:

                                 ƒ  Do not squeeze
                                 ƒ  Warm and moist compresses increases visualization and hasten

                                     resolution.



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