Which of the following is NOT listed as a common cause of folliculitis with a stoma?

• A. Shaving peristomal skin
• B. Ripping off skin barrier
• C. Friction and occlusion of skin barrier
• D. Use of adhesive removers

Answer: (D)

Folliculitis around a stoma occurs when the hair follicles in the peristomal skin become irritated or injured, leading to inflammation. Shaving the skin near the stoma can cut or nick follicles, creating openings for bacteria and triggering folliculitis. Ripping off the skin barrier damages the protective outer layer, exposing follicles to moisture, adhesive irritants, and friction, all of which can inflame them. Friction from clothing or belts, especially when combined with occlusion from an overly tight barrier, increases heat and moisture that promote follicular irritation and infection.

Using adhesive removers, when used properly, is not typically listed as a common cause of folliculitis. These products are intended to help lift and remove adhesives with minimal trauma, reducing the risk of follicle injury. That’s why this option is not considered a common cause, whereas the other factors directly contribute to peristomal skin irritation and follicle inflammation.