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December 1978

Pseudofolliculitis Barbae in a Woman

Arch Dermatol. 1978;114(12):1856. doi:10.1001/archderm.1978.01640240080032

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.

Comment.—  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

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