Case Report: Atopic Dermatitis and Folliculitis in a 28-Year-Old Patient | Village Dermatology Katy & Houston, TX
Introduction
Chronic skin conditions like atopic dermatitis (eczema) and folliculitis can significantly affect quality of life if not properly treated. At Village Dermatology in Katy and Houston, Texas, our dermatologists specialize in evaluating persistent rashes, providing targeted treatment, and educating patients on long-term skin care strategies. This case highlights a 28-year-old patient presenting with eczema flare-ups and folliculitis.
Patient Presentation
The patient, a 28-year-old, presented with:
Itchy, red rash on arms and left hand, present for several months
History of childhood eczema
New acne-like bumps on the buttocks, especially after wearing tight clothing
The patient was not on any treatment prior to evaluation.
Examination
A dermatologic examination revealed:
Eczema patches: well-demarcated, eczematous, inflamed patches on the arms and hands
Folliculitis: follicular-based pustules on the buttocks
The patient appeared well-nourished, alert, and in no acute distress.
Impressions & Treatment Plan
1. Atopic Dermatitis (Eczema, L20.89)
History of flares since childhood
Prescribed triamcinolone acetonide 0.1% cream, applied BID during flares for up to 14 days/month
Advised on proper skin care:
Use lukewarm water with mild cleansers
Apply emollients (CeraVe, Cetaphil, Vanicream) 2–3 times daily
Avoid scented detergents and fabric softeners
Moisturize immediately after bathing
Counseling on triggers: stress, scented soaps, detergents, dry skin, weather changes, and scratching
Education on side effects of long-term steroid use, including skin thinning and hypopigmentation
2. Folliculitis
Likely exacerbated by tight-fitting clothing and friction
Patient already using benzoyl peroxide wash (Panoxyl bar)
Prescribed clindamycin 1% gel, applied once to twice daily for prevention and treatment
Counseled that post-inflammatory hyperpigmentation (brown spots) may remain temporarily but fade with time
If resistant, future treatment may include oral doxycycline
Counseling & Education
The patient was instructed to:
Continue moisturizers daily for eczema
Use benzoyl peroxide wash and clindamycin for folliculitis
Avoid overuse of topical steroids to minimize side effects
Return for follow-up in 2 months or sooner if symptoms worsen
Conclusion
This case highlights the importance of personalized dermatologic care for patients with both eczema and folliculitis. At Village Dermatology in Katy and Houston, TX, our team provides tailored treatment plans combining medications, lifestyle guidance, and preventive care to ensure healthy skin and improved quality of life.
