Multiple furuncles over the neck in a patient with uncontrolled diabetes

Its a localised suppurative Staphylococcal skin infection originating in a gland or hair follicle and characterized by pain, redness, and swelling. Necrosis deep in the center of the inflamed area forms a core of dead tissue that is spontaneously extruded, eventually resorbed, or surgically removed. It is important to avoid irritating or squeezing the lesion to prevent spread of the infection. Treatment may include antibiotics, local moist heat, and, when there is definite fluctuation and the hard white core is evident, incision and drainage.

Comprehensive treatment of diabetes is of paramount importance. If not lesions are likely to spread/recur.

Contributed by:
Dr. Radhamony M
Asst Prof, Travancore Medical College, Kollam, Kerala
drradhamony@yahoo.co.in