Snapshot A 16-year-old African American boy presents to his pediatrican’s office for razor bumps. He started shaving 2 years ago and has had intermittent rashes after shaving. He reports that the rash is both itchy and painful but seems to improve if he stops shaving. On physical exam, he has clusters of hyperpigmented firm papules along his jawline. Some papules have visible loops of short hair penetrating the skin with surrounding erythema. He is given low potency topical steroids and counseled on other methods of hair removal. Introduction Clinical definition login to view 4 more bullets Epidemiology login to view 6 more bullets Pathogenesis login to view 3 more bullets Presentation Symptoms login to view 1 more bullet Physical exam login to view 3 more bullets Studies Labs login to view 1 more bullet Biopsy login to view 1 more bullet Histology login to view 3 more bullets Differential Folliculitis Cutaneous sarcoidosis login to view 1 more bullet Treatment Conservative login to view 7 more bullets Medical login to view 9 more bullets Complications Scarring or keloid formation Secondary bacterial infection