Hello I'm Raiyyan Tahsan
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TC (497).(12).ENT Case No 32. “Sycosis barbae”

Age:25

Symptoms:Pus and pain present…

only this one side of face is affected..

What is the probable diagnosis and treatment plan?

Probable Diagnosis:

Based on the image and provided information (pustules, pain, localized to one side of the face), the likely diagnosis is “Folliculitis barbae” or “Sycosis barbae”. This is a bacterial infection of the hair follicles, commonly caused by Staphylococcus aureus.

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Treatment Plan:

1. General Care & Hygiene:

Avoid shaving temporarily (if necessary, use an electric razor).

Wash the affected area twice daily with a mild antiseptic face wash.

Apply warm compresses to reduce inflammation and help drainage.

2. Medical Treatment:

Topical Antibiotics:

Mupirocin 2% ointment (apply 2-3 times daily) OR

Fusidic acid cream (apply 3 times daily)

Oral Antibiotics: (if severe or spreading)

Flucloxacillin 500mg 4 times daily for 7–10 days (if no allergy to penicillin)

Doxycycline 100mg once daily for 7-10 days (if penicillin-allergic)

Antiseptic Wash:

Use Chlorhexidine (Hibiscrub) or Benzoyl Peroxide (5%)

3. Lifestyle Modifications:

Avoid touching or squeezing the pustules.

Change pillow covers & towels regularly.

Maintain good personal hygiene to prevent recurrence.

Raiyyan Tahsan. Date:-21-05-2025 Wednesday Time:-06-17-45 Pm

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