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Volume 8, Issue 3 (Suppl) J Clin Exp Dermatol Res, an open access journal
ISSN: 2155-9554 Euro Dermatology 2017
June 07-08, 2017
June 07-08, 2017 Milan, Italy
16th European Dermatology Congress
Establishment of diagnose follicular occlusion tetrad
Aulia Rahman1, Ancella Soenardi1, Nugrohoaji Dharmawan1, Priyambodo1, Mahmud Ghaznawie 2 and Suci Widhiati1
1Dr Moewardi General Hospital Surakarta - Sebelas Maret University, Indonesia
2Hasanuddin University Makassar, Indonesia
Background: The follicular occlusion tetrad (FOT) is a clinical syndrome consisting of hidradenitis suppurativa, acne conglobata and
dissecting cellulitis on the scalp, and pilonidal sinus. The syndrome is often severe disabling and resistant to therapy. The enforcement
of diagnosis and appropriate treatment for all components of FOT is extremely important.
Case: A 43 years old male came with complaints of small, painful blisters and bumps filled with pus and smelling since 5 years ago.
The scalp, anterior and posterior trunk, abdomen, groin and gluteal regions there were pustules and erythematous nodules and
abscess multiple with atrophic scars. At facialis regio there were multiple atrophic scars. The culture of pus showed the presence
of Escherichia coli and fistulography examination gave the result of multiple cutaneous fistules and enterocutaneous sinus. The
histopathological examination indicates rupture of hair follicles, follicular plugs and infiltration of heavy-mixed infiltrate cells.
Discussion: Diagnosis of FOT is made through anamnesis, physical examination, fistulography and histopathological examinations.
On anamnesis and physical examination, we found pustules and nodules in several hairy areas. Fistulography found some fistules
and sinus tracts, and by histopathological examination it was found that there was adnexal tissue damage caused by occlusion of hair
follicles and inflammations due to accumulation of keratin and debris. All these findings then led to the diagnosis of FOT.
Biography
Aulia Rahman is Derrmatovenereology Resident from Medical Faculty, Universitas Sebelas Maret (UNS), Surakarta, Central Java, Indonesia and Medical Doctor
(MD) from Medical Faculty, Yarsi University, Jakarta, Indonesia. He is Member of Indonesia Medical Association (IDI) member of Indonesia Dermatovenerologist
Association (PERDOSKI)
Aulia Rahman et al., J Clin Exp Dermatol Res 2017, 8:3 (Suppl)
DOI:10.4172/2155-9554-C1-056