Superficial or deep bacterial infection and inflammation of the hair follicles. Superficial lesions are referred to as follicular impetigo. Deep lesions are referred to as sycosis barbae.

The most common cause of the condition is Staphylococcus aureus. The condition may also be caused by Pseudomonas aeruginosa. Risk factors associated with the condition are

• an infected wound elsewhere in the body,

• poor hygiene,

• debilitation,

• diabetes mellitus,

• exposure to chemicals, and

• management of skin lesions with occlusive treatment.

Signs and symptoms include:

• small, elevated, circumscribed, pus-containing lesions (pustules) of the skin, and

• itching, burning and pain around the affected area.

The condition may lead to the development of boils (furuncles). The condition increases in severity by irritation, pressure, friction, or perspiration. The condition may become chronic where the hair follicles are numerous or deep in the skin such as bearded areas. The pustules usually appear on the faces of bearded men and on the eyelids. The condition may also lead to hard, painful boils on the neck, face, armpit, and the buttocks. Fever and malaise may also be present. Pain may occur with deep folliculitis.

Tests include culture of the wound.

Treatment includes applying topical antibiotics, and administering systemic antibiotics if the infection recurs. Thorough cleaning of the infected area with soap and water, and applying warm, wet compresses is required. If the condition results in a boil, incision and drainage may be needed. Infected hairs may be removed; however, new papules may develop.

Residuals will vary with each individual, and from no residuals to any combination of signs and symptoms.

• Consider this condition pursuant to 38 CFR 4.27 and 38 CFR 4.20, when applicable. Analogous ratings are utilized when a specific disability is not listed in 38 CFR Part 4. Certain hyphenated codes do not necessarily denote analogous ratings – a hyphenated DC may also be used to identify the proper evaluation of a disability or a residual from disease. Diagnostic Codes (DCs) must be carefully selected as a condition specifically listed in the rating schedule may not be rated by analogy, unless otherwise directed (e.g., amyotrophic lateral sclerosis, multiple sclerosis).  When multiple DCs apply to a given disability, consider whether separate evaluations are warranted, and/or which DC will result in the most advantageous outcome for the claimant.

• Rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability

• Two or more skin conditions may be combined in accordance with 38 CFR 4.25 only if separate areas of skin are involved. If two or more skin conditions involve the same area of skin, then only the highest evaluation shall be used.