To the Editor.—
We recently saw a case of pseudofolliculitis that was unusual in that it occurred on the neck of a woman and was caused by persistent plucking of hair.
Report of a Case.—
A 28-year-old black woman had a papular eruption on the left side of her neck for four years (Figure). Physical examination revealed approximately 30 1- to 2-mm inflammatory papules. In several lesions an ingrown hair was visible. The patient stated that the lesions began appearing when she began plucking a group of dark hairs in the area.
Pseudofolliculitis barbae is a chronic papular and pustular eruption of the bearded area. It is most often caused by a strongly curved shaved hair reentering the skin a short distance from the follicle. An alternate method of formation, as in this case, occurs when the hair is cut or broken below the skin surface with resultant intrafollicular
Garcia RL, White JW. Pseudofolliculitis Barbae in a Woman. Arch Dermatol. 1978;114(12):1856. doi:10.1001/archderm.1978.01640240080032