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11-SEPTEMBER-2008 12:20:15 - Carbuncle This article or section needs copy ing for grammar, style, cohesion, tone or spelling. You can assist by ing it now. A how-to guide is available. January 2008 April 2008 For other uses, see Carbuncle disambiguation. Carbuncle Classification and external resources ICD-10 L02. ICD-9 680.9 DiseasesDB 29434 MeSH D002270 A carbuncle is an abscess larger than a boil, usually with one or more openings draining pus onto the skin. It is usually caused by bacterial infection. Most carbuncles are caused by the bacteria Staphylococcus aureus. The infection is contagious and may spread to other areas of the body or other people. A carbuncle is made up of several skin boils. The infected mass is filled with fluid, pus, and dead tissue. Fluid may drain out of the carbuncle, but sometimes the mass is so deep that it cannot drain on its own. Carbuncles may develop anywhere, but they are most common on the back and the nape of the neck. Men get carbuncles more often than women. Because the condition is contagious, family members may develop carbuncles at the same time. Often, the direct cause of a carbuncle cannot be determined. Things that make carbuncle infections more likely include friction from clothing or shaving, generally poor hygiene and weakening of immunity. For example, persons with diabetes and immune system diseases are more likely to develop staphylococcal infections. The carbuncle may be the size of a pea or as large as a golf ball. It may be red and irritated and might hurt when touched. It may also grow very fast and have a white or yellow center. It may crust or spread to other skin areas. Sometimes, other symptoms may occur. These may include fatigue, fever and general discomfort or sick feeling. Sometimes an itching occurs before the carbuncle develops. Contents 1 Treatment 2 Prognosis 3 Monstrous carbuncle 4 References Treatment Carbuncles usually must drain before they will heal. This most often occurs on its own in less than 2 weeks. Placing a warm moist cloth on the carbuncle helps it to drain, which speeds healing. The affected area should be soaked with a warm, moist cloth several times each day. The carbuncle should not be squeezed, or cut open without medical supervision, as this can spread and worsen the infection. Treatment is needed if the carbuncle lasts longer than 2 weeks, returns frequently, is located on the spine or the middle of the face, or occurs along with a fever or other symptoms. Treatment helps reduce complications related to an infection. A doctor may prescribe antibacterial soaps and antibiotics applied to the skin or taken by mouth. Deep or large lesions may need to be drained by a health professional. Proper hygiene is very important to prevent the spread of infection. Hands should always be washed thoroughly after touching a carbuncle. Washcloths and towels should not be shared or reused. Clothing, washcloths, towels, and sheets or other items that contact infected areas should be washed in very hot preferably boiling water. Bandages should be changed frequently and thrown away in a tightly-closed bag. Prognosis Carbuncles may heal on their own. Others usually respond well to treatment. However, a carbuncle can return again and again for months or years following the first infection. Call a doctor if a carbuncle does not heal with home treatment within 2 weeks or is located on the face, neck or spine. The same if you have a fever or a lot of swelling around the carbuncle, or pain that gets worse. Also consult a professional if carbuncles come back often. Monstrous carbuncle In 1984 Charles, Prince of Wales famously described the proposed Sainsbury Wing extension to the National Gallery in London as a monstrous carbuncle on the face of a much-loved and elegant friend,1 a term now widely used to describe architecture, particularly modernist architecture, unsympathetic to its surroundings.2 3 References ^ A speech by HRH The Prince of Wales at the 150th anniversary of the Royal Institute of British Architects RIBA, Royal Gala Evening at Hampton Court Palace. Retrieved on 2007-06-16. ^ Prince's new architecture blast. Retrieved on 2007-06-16. ^ No cash for 'highest slum'. Retrieved on 2007-06-16. v d e Diseases of the skin and subcutaneous tissue integumentary system L, 680-709 Infections Staphylococcus Staphylococcal scalded skin syndrome, Impetigo, Boil, Carbuncle - Cellulitis Paronychia - Acute lymphadenitis - Pilonidal cyst - Corynebacterium Erythrasma - Pimple Pustule Bullous disorders acantholysis Pemphigus, Transient acantholytic dermatosis - Pemphigoid Bullous, Mucous membrane, Gestational - Dermatitis herpetiformis Inflammatory Dermatitis and eczema Atopic dermatitis - Seborrhoeic dermatitis Dandruff, Cradle cap - Contact dermatitis Diaper rash, Urushiol-induced contact dermatitis - Erythroderma - Lichen simplex chronicus/Prurigo nodularis - Itch Pruritus ani - Nummular dermatitis - Dyshidrosis - Pityriasis alba Papulosquamous disorders Psoriasis Psoriatic arthritis - Parapsoriasis Pityriasis lichenoides et varioliformis acuta, Pityriasis lichenoides chronica, Lymphomatoid papulosis - other pityriasis Pityriasis rosea, Pityriasis rubra pilaris - other lichenoid Lichen planus, Lichen nitidus Urticaria and erythema Urticaria: Dermatographic urticaria - Cholinergic urticaria Erythema multiforme/drug eruptions: Stevens-Johnson syndrome - Toxic epidermal necrolysis - Erythema nodosum Other erythema: Erythema annulare centrifugum - Erythema marginatum - Necrolytic migratory erythema - Erythema toxicum Radiation-related disorders Sunburn - Actinic keratosis - Polymorphous light eruption - Radiodermatitis - Erythema ab igne Pigmentation disorder hypopigmentation Albinism, Vitiligo - hyperpigmentation Melasma, Freckle, Café au lait spot, Lentigo/Liver spot, Acanthosis nigricans Other keratosis/hyperkeratosis Seborrheic keratosis, Callus - other epidermal thickening Ichthyosis acquisita, Palmoplantar keratoderma skin ulcer Pyoderma gangrenosum, Bedsore atrophic Lichen sclerosus, Acrodermatitis chronica atrophicans necrobiosis Granuloma annulare, Necrobiosis lipoidica - other granuloma Granuloma faciale, Pyogenic granuloma vasculitis Livedoid vasculitis, Erythema elevatum diutinum Keloid - Systemic lupus erythematosus - Morphea - Calcinosis cutis - Sclerodactyly - Ainhum Disorders of skin appendages Nail Ingrown nail - Onychogryposis - Beau's lines - Yellow nail syndrome - Leukonychia Hair Hair loss Alopecia areata Alopecia totalis, Alopecia universalis, Ophiasis Androgenic alopecia - Hypotrichosis - Telogen effluvium - Traction alopecia - Lichen planopilaris - Trichorrhexis nodosa Other Hypertrichosis Hirsutism Acneiform eruption Acne vulgaris, Chloracne, Blackhead - Rosacea Perioral dermatitis, Rhinophyma follicular cysts Epidermoid cyst, Sebaceous cyst, Steatocystoma multiplex Pseudofolliculitis barbae - Hidradenitis suppurativa - Folliculitis Sweat glands eccrine Miliaria, Anhidrosis - apocrine Body odor, Chromhidrosis, Fox-Fordyce disease see also congenital, neoplasia Retrieved from http://en..org/wiki/Carbuncle Categories: Gross pathologyHidden categories: articles needing copy from January 2008 | All articles needing copy | Articles needing additional references from April 2008 Views Article Discussion this page History Personal tools Log in / create account Navigation Main page Contents Featured content Current events Random article Search Go Search Interaction Community portal Recent changes Contact Donate to Help Toolbox What links here Related changes Upload file Special pages Printable version Permanent link Cite this page Languages Dansk Deutsch Español Esperanto Français Lietuvių Nederlands 日本語 РуÑ?Ñ?кий Svenska This page was last modified on 28 August 2008, at 20:35
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