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Fig. 27.13 Trichomycosis axillaris. Adherent tan-white concretions on axillary hair. (Courtesy of the Fitzsimons Army Medical Center teaching files.) |
Trichomycosis axillaris is a superficial infection of the hair shaft that most commonly affects the axillary hair and, less commonly, the pubic hair. It is most commonly produced by
Corynebacterium tenuis although other
Corynebacterium species are also frequently implicated. It is an asymptomatic infection characterized by tan or, less commonly, yellow, red, or black concretions of tightly packed bacteria that grow on and within the hair (Fig. 27-13). Treatment options include cutting the affected hair, topical aluminum chloride, topical erythromycin, or topical clindamycin.