presentation on Folliculitis & Callositis

follicle Inflammation

1. Folliculitis and By: Dr. Priya Gairola (PT)

2. Definition Inflammation/infection of hair follicles Common in scalp, beard, thighs, buttocks Caused by bacteria, fungi, or irritation

3. Etiology & Risk Factors Staphylococcus aureus most common cause Non-infectious: friction, occlusion, shaving trauma, hot tubs Risk factors: Diabetes, immunosuppression, tight clothing

4. Pathophysiology Follicle injury or blockage → microbes invade follicle Inflammation develops → pus-filled lesion Cycle may repeat causing recurrence

5. Clinical Features Red, painful papules/pustules around follicles Itching and burning Abscess/boil in severe cases Recurrence common

6. Investigations & Diagnosis Clinical inspection Swab for culture & sensitivity Blood sugar levels (rule out diabetes) Differentiate from acne, carbuncle, hidradenitis

7. Management General: hygiene, avoid tight clothes, antiseptic washes Pharmacological: topical antibiotics (mupirocin, clindamycin) Oral antibiotics for recurrent cases Antifungal if fungal cause Surgical: incision & drainage if abscess forms

8. Role of Physiotherapy Warm compresses for pain relief and drainage Hygiene education and posture correction Lifestyle advice: avoid repeated trauma/shaving

9. Callositis By: Dr. Priya Gairola (PT)

10. Definition Inflammation and thickening of skin (callus) due to chronic pressure Common in feet, palms, areas of repeated trauma

11. Etiology & Risk Factors Repeated mechanical pressure or friction Ill-fitting shoes, barefoot walking on hard surfaces Occupations: manual labor, athletes Risk factors: flat feet, abnormal gait, obesity

12. Pathophysiology Chronic pressure → hyperkeratosis (thickened skin) Skin thickening forms callus Secondary inflammation → pain, swelling

13. Clinical Features Localized thickened yellowish skin patch Pain, tenderness, swelling Difficulty walking/using affected hand May develop fissures or ulcers (esp. in diabetics)

14. Investigations & Diagnosis Clinical inspection and palpation Gait analysis, footwear check Differentiate from plantar warts, corns, infections X-ray/ultrasound if associated with bone deformity

15. Management General: avoid pressure, footwear modification, padding Moisturizers, keratolytic creams (salicylic acid, urea) Medical: debridement, orthotic devices Surgical: correction of deformity (rare)

16. Role of Physiotherapy Gait & posture correction Foot orthotics and footwear education Strengthening intrinsic foot muscles Patient education on skin care and load distribution

17. THANKYOU!