There are many ways to check for this disease. Here is a detailed introduction on how to check whether the hair follicles are inflamed. Routine examination of folliculitis: Gram staining of direct smear of pus can reveal pathogenic microorganisms. Bacterial culture and drug sensitivity tests are required for stubborn cases. Histopathology shows acute pustular inflammation in the hair follicle area, and chronic cases may show infiltration of lymphocytes, plasma cells and histiocytes. Bacterial hair Direct Gram staining of pus smear from cystitis can reveal pathogenic microorganisms, and stubborn cases require bacterial culture and drug sensitivity testing. The histopathology of bacterial folliculitis is acute pustular inflammation in the hair follicle area, and in chronic cases, infiltration of lymphocytes, plasma cells and histiocytes may occur. Examination of plasma cells in folliculitis: plasma cells are oval in shape, with a diameter of 8 to 20 μm. The nucleus is round and obviously eccentric, and the purple-red chromatin is in coarse clots arranged in a wheel shape (in pathological conditions, there may sometimes be 2 to 4 nuclei in one cell). The cytoplasm is rich, gray-blue, and some are lilac Colorful, sometimes with many vacuoles, and may have a few azure granules. There is an obvious semicircular blank area near the nucleus. In addition, the cytoplasm is occasionally multi-lamellar, and the endoplasmic reticulum in the cytoplasm is swollen, broken or rounded. A refractometer can be used to measure whether the total amount of protein in serum (including Ig) has increased. The patient's serum is placed in cellulose acetate or agarose medium and its pH is adjusted to 8.2-8.6. After the power is turned on, all serum proteins except IgG are negatively charged and migrate toward the anode, while IgG stays where it is or migrates toward the cathode. According to the migration speed of various proteins The different degrees of concentration can separate the components and stain them with protein-binding dyes to identify the five parts of albumin, globulin, β, γ, etc. Folliculitis smear examination: Toxic changes in neutrophils are often seen in severe infections and poisoning. Close observation of the number of white blood cells and toxic changes in neutrophils has important clinical value in determining the extent of infection, the patient's resistance and prognosis. Among them, fever, submandibular Patients with multiple cervical lymphadenopathy, leukocytosis, and more than 10% atypical lymphocytes are more likely to be diagnosed with infectious mononucleosis. A certain type of atypical lymphocytes may also be seen in the blood of some children, but not exceeding 3% and has no clinical diagnostic value. |
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