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Pseudofolliculitis barbae (Razor Bumps), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Pseudofolliculitis barbae (Razor Bumps), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Pseudofolliculitis barbae (Razor Bumps), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
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Pseudofolliculitis barbae (Razor Bumps), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

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This book describes Pseudofolliculitis barbae (Razor Bumps), Diagnosis and Treatment and Related Diseases

When I first read about Pseudofolliculitis barbae (Razor Bumps), I said that that that disorder describes my brother's exact situation when he was about 18 years old and started to shave with a razor blade.

I was then 13 years old still growing with no face mustache or beard.

But my brother was already shaving to show a clean shaven face when going to school and meeting girl friends.

Then small little bumps started to appear on his lower face and he was rather irritated by them.

A barber told him to shave with shaving cream instead of shaving dry.

Since then he did not have any red bumps on his face.

Just like in my book on Entroprion (Ingrown Eyelashes), Pseudofolliculitis barbae is a chronic inflammatory skin disorder produced by ingrown hairs.

It is most often activated by hair removal, particularly shaving, since shaving cuts the hair into a sharp tip that can more easily pierce the skin as it grows.

Pseudofolliculitis barbae often develops in the beard region of men, but it can happen in all sexes and in any area where thick or coarse hair grows.

Pseudofolliculitis barbae (razor bumps) is a frequent disorder of the beard area happening in up to 60% African American men and other people with curly hair.

A good, clean shave makes the skin feel so smooth and soft at first but then come the red razor bumps.

Pseudofolliculitis barbae (razor bumps) are more than just an irritation; in some cases, they can produce permanent damage if they are not treated.

The disorder happens when highly curved hairs grow back into the skin producing inflammation and a foreign body reaction.

Over time, this can induce keloidal scarring which looks like hard bumps of the beard area and neck.

Shaving makes the ends of the hairs sharp like a spear.

The hairs then grow back into the skin producing pseudofolliculitis barbae.

Other names for pseudofolliculitis barbae (PFB) are:
1. Razor bumps
2. Barber’s itch
3. Pseudofolliculitis pubis (specifically when the bumps occur in the pubic area)
4. Folliculitis barbae traumatica

There are three main causes that, together, activate pseudofolliculitis development.

1. Having curly hair
2. Being genetically prone to the condition
3. The present hair grooming method

Pseudofolliculitis happens when the terminal hair does not develop and move out of the hair follicle normally through the opening at the skin's surface, also called the pore.

Instead, the hair develops laterally, underneath the skin's surface, through the follicle wall, and into the neighboring skin tissue.

Occasionally the hair will pass out of the pore normally but do a sharp "U-turn" and grow back into the skin from the surface.

Either way, the skin now feels the hair as a foreign invader and the body attacks it.

Curly Hair
The bumps happen when curly hairs are stuck inside the hair follicles

Genetic Predisposition
People who had a single nucleotide substitution in a specific keratin gene (K6hf) were 6 times more likely to have pseudofolliculitis barbae than those without this point mutation.

Shaving
Shaving produces a sharp, angled point at the tips of the hair where it has been sliced
This sharp point can more easily penetrate the skin as the hair grows.

This produces inflamed, painful, red bumps.

The best treatment for pseudofolliculitis is prevention to stop shaving and permit the hair to grow out.

Other treatments are:
Chemical depilatories (break hair)
Topical steroids or tretinoin (inflammation)
Antibiotics (infection)
Eflornithine (stop hair growth)
Laser hair removal
TABLE OF CONTENT
Introduction
Chapter 1 Pseudofolliculitis barbae
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 D

LanguageEnglish
PublisherKenneth Kee
Release dateJan 21, 2021
Pseudofolliculitis barbae (Razor Bumps), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
Author

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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    Book preview

    Pseudofolliculitis barbae (Razor Bumps), A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee

    Pseudofolliculitis barbae

    (Razor Bumps),

    A

    Simple

    Guide

    To

    The Condition,

    Diagnosis,

    Treatment

    And

    Related Conditions

    By

    Dr Kenneth Kee

    M.B.,B.S. (Singapore)

    Ph.D (Healthcare Administration)

    Copyright Kenneth Kee 2021 Smashwords Edition

    Published by Kenneth Kee at Smashwords.com

    Dedication

    This book is dedicated

    To my wife Dorothy

    And my children

    Carolyn, Grace

    And Kelvin

    This book describes Pseudofolliculitis barbae (Razor Bumps), Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.

    (What You Need to Treat Pseudofolliculitis barbae)

    This e-Book is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.

    If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.

    Thank you for respecting the hard work of this author.

    Introduction

    I have been writing medical articles for my blog: http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.

    My purpose in writing these simple guides was for the health education of my patients.

    Health Education was also my dissertation for my Ph.D (Healthcare Administration).

    I then wrote an autobiography account of my journey as a medical student to family doctor on my other blog: http://afamilydoctorstale.blogspot.com.

    This autobiography account A Family Doctor’s Tale was combined with my early A Simple Guide to Medical Disorders into a new Wordpress Blog A Family Doctor’s Tale on http://kenkee481.wordpress.com.

    From which many free articles from the blog was taken and put together into 800 eBooks.

    Some people have complained that the simple guides are too simple.

    For their information they are made simple in order to educate the patients.

    The later books go into more details of medical disorders.

    The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.

    Since 2013, I have tried to improve my spelling and writing.

    As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.

    My diagnosis and treatment capability has improved tremendously from my continued education.

    Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.

    I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.

    I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.

    I apologize if these repetitions are irritating to some readers.

    Chapter 1

    Pseudofolliculitis barbae (Razor Bumps)

    Just like in my book on Entroprion (Ingrown Eyelashes), Pseudofolliculitis barbae is a chronic inflammatory skin disorder produced by ingrown hairs.

    It is most often activated by hair removal, particularly shaving, since shaving cuts the hair into a sharp tip that can more easily pierce the skin as it grows.

    Pseudofolliculitis barbae often develops in the beard region of men, but it can happen in all sexes and in any area where thick or coarse hair grows.

    What is Pseudofolliculitis barbae (PFB)?

    Pseudofolliculitis barbae (razor bumps) is a frequent disorder of the beard area happening in up to 60% African American men and other people with curly hair.

    A good, clean shave makes the skin feel so smooth and soft at first but then come the red razor bumps.

    Pseudofolliculitis barbae (razor bumps) are more than just an irritation; in some cases, they can produce permanent damage if they are not treated.

    The disorder happens when highly curved hairs grow back into the skin producing inflammation and a foreign body reaction.

    Over time, this can induce keloidal scarring which looks like hard bumps of the beard area and neck.

    Shaving makes the ends of the hairs sharp like a spear.

    The hairs then grow back into the skin producing pseudofolliculitis barbae.

    Other names for pseudofolliculitis barbae (PFB) are:

    1. Razor bumps

    2. Barber’s itch

    3. Pseudofolliculitis pubis (specifically when the bumps occur in the pubic area)

    4. Folliculitis barbae traumatica

    What are the causes of pseudofolliculitis barbae?

    Causes

    There are three main causes that, together, activate pseudofolliculitis development.

    1. Having curly hair

    2. Being genetically prone to the condition

    3. The present hair grooming method

    Pseudofolliculitis happens when the terminal hair does not develop and move out of the hair follicle normally through the opening at the skin's surface, also called the pore.

    Instead, the hair develops laterally, underneath the skin's surface, through the follicle wall, and into the neighboring skin tissue.

    This is termed trans-follicular penetration.

    Occasionally the hair will pass out of the pore normally but do a sharp U-turn and grow back into the skin from the surface.

    This is termed extra-follicular penetration.

    Either way, the skin now feels the hair as a foreign invader and the body attacks it.

    Curly Hair

    The bumps happen when curly hairs are stuck inside the hair follicles

    Instead of growing straight out of the follicle, the hairs meet resistance from dead skin at more steeply angled pore openings and the hair in-grows back around inside the pore.

    This produces inflamed, painful, red bumps.

    While it can happen in any hair type, pseudofolliculitis is by far more frequent in people with naturally curly hair.

    Tightly curled hair is more likely to twist back into the skin rather than growing up and out of the follicle.

    Hence pseudofolliculitis barbae is very frequent in black men and men who have curly facial hair.

    It is believed that up to 83% of all African American men develop pseudofolliculitis barbae.

    Genetic Predisposition

    Some people are more likely to develop pseudofolliculitis barbae beyond the hair texture.

    People who had a single nucleotide substitution in a specific keratin gene (K6hf) were 6 times more likely to have pseudofolliculitis barbae than those without this point mutation.

    Shaving

    Even with the other risk factors present, it is shaving (and less often waxing) that is the first precipitating factor which eventually induces pseudofolliculitis to develop.

    Hair stretches a bit when shaving, particularly if the skin is pulled taut during razor shaving.

    As the razor slices the hair, the hair draws back and

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