AAP Guidelines for Folliculitis
The American Academy of Pediatrics addresses folliculitis primarily in the context of gynecologic examinations, describing it as papules and pustules in the pubic hair region that are mildly tender and commonly associated with pubic hair shaving. 1
Clinical Recognition and Presentation
- Folliculitis presents as papules and pustules primarily in the pubic hair region that are usually smaller than hidradenitis suppurativa lesions 1
- The lesions can be mildly tender and represent inflammation of hair follicles 1
- Folliculitis is particularly common with the increased popularity of shaving pubic hair among adolescents 1
Key Distinction from Other Conditions
- Folliculitis lesions are typically smaller than hidradenitis suppurativa, which causes larger, tender, draining lesions representing recurrent infection of apocrine glands 1
- This distinction is important during external genitalia examination in adolescent patients 1
Prevention Counseling (AAP Recommendation)
Teenagers need to be counseled that shaving should be performed carefully with adequate lubrication to minimize trauma 1
- This preventive counseling should occur during routine adolescent health visits 1
- The focus is on minimizing mechanical trauma to hair follicles during grooming practices 1
Important Clinical Context
The AAP guideline addresses folliculitis specifically in the adolescent population during gynecologic examinations, noting it as part of the inspection of pubic hair and assessment of Tanner stage (sexual maturity rating) 1. The guideline emphasizes that proper hygiene education is essential for this age group 1.
Common Pitfall to Avoid
Do not confuse folliculitis with hidradenitis suppurativa during examination—folliculitis lesions are smaller, less deeply inflamed, and do not involve apocrine glands 1. Missing this distinction could lead to inappropriate management strategies.