Definition

It is the localised inflammatory condition of the nasal vestibule involving the hair follicle caused by Staphylococcus aureus.

Etiology/Risk Factors

•           Trauma

•           Diabetes

•           Immunodeficiency state

•           Longterm steroids

•           Agranulocytosis

Clinical Features

•           Mild pain,redness and tenderness over the affected area.

•           Swelling, which may involve tip of the nose depending on the site of affected hair follicle.

•           In severe form,pain can be throbbing in nature if the area is touched.

•           In more advanced form abscess formation may occur which can rupture.

Management

A.    Non-Pharmacological

•           Warm compresses

B.    Pharmacological

•           Antibiotics: Cloxacillin 500 mg P0 q6 hr

•           Mupirocin ointment for 5 days in a month for 6 months

•           Analgesic - Serratiopeptidase and acelofenac (100 mg BD) may reduce inflammation and pain.

Surgical

If abscess formation occurs, it can be incised and drained.