L05.91

Clinical Causes: Presence of hair follicles that become embedded in the skin Hair removal or shaving techniques causing skin irritation Genetic predisposition or familial history Prolonged sitting or sitting on hard surfaces Obesity or excess weight contributing to skin stress Poor hygiene or skin hygiene practices

Key Symptoms: Small, firm, dimple-like swelling in the sacrococcygeal area Presence of a palpable cyst or swelling near the tailbone Occasional mild discomfort or tenderness around the cyst Recurrent redness or swelling if inflammation occurs Rarely, drainage of pus if the cyst becomes infected

Diagnosis Path: Diagnosis generally involves a physical examination of the affected area to identify a dimple or cystic swelling. Healthcare providers may look for signs of inflammation such as redness, swelling, or tenderness. In some cases, imaging tests like ultrasound or MRI can be used to assess the extent of the cyst and to rule out other underlying conditions. A detailed medical history, including any episodes of recurrent infection or drainage, aids in accurate diagnosis.

Treatment Protocols: Treatment options focus on managing symptoms and preventing recurrence. Conservative approaches include maintaining good hygiene and regular hair removal around the area to reduce hair follicle obstruction. When symptoms persist or if the cyst becomes infected, surgical intervention may be necessary. Surgical procedures typically involve the excision of the cyst and surrounding tissue to reduce the risk of recurrence. In cases of infection, antibiotics may be prescribed to address inflammation. Postoperative care and wound management are essential for healing and recovery.