Which of the following is a characteristic finding in folliculitis with a stoma?

• A. Isolated pustules, papules, or erythema at hair follicles
• B. Widespread non-specific edema
• C. Absence of itch or pain
• D. No involvement of hair follicles

Answer: (A)

Folliculitis around a stoma presents as localized inflammation at the openings of hair follicles on peristomal skin, often showing isolated pustules or small papules with surrounding erythema centered on the follicular areas. This follicle-centered involvement is the hallmark feature, distinguishing it from diffuse edema, a lack of itch or pain, or skin changes that spare hair follicles altogether. Recognizing this pattern guides care toward reducing moisture and friction at the follicles, ensuring a proper appliance fit, and using appropriate topical treatments if an infection is present.