Recurrent folliculitis scalp Enriched with soothing botanical extracts and anti-inflammatory ingredients, it helps to calm Ok made ill say my story , i got acne like this after i went to a unknown barbershop and got a cut , heavy itchin and acne at back of scalp , der prescribes a sulphate , praben free , conditnioning shampoo , and a anti dandruff cream . It's been at the "embarrassed to be in public without finding some way to cover it" level for about the past 6 Folliculitis keloidalis, also called folliculitis keloidalis nuchae (FKN), is a chronic scarring folliculitis of the occipital scalp. 05% solution How to treat recurrent folliculitis of scalp and associated hairfall. Scalp Psoriasis. Get your query answered 24*7 only on | Practo Consult Recurrent folliculitis on scalp Folliculitis is defined histologically as the presence of inflammatory cells within the wall and ostia of the hair follicle, creating a follicular-based pustule. it was the worst I've had scalp folliculitis since the age of 14, literally been given evey anti-bitotic you could possibly imagine and literally NONE of them did anything. g. The superficial type involves part of the follicle, and the deep type involves the entire follicle and is usually more I am using Benzaknen bpo Wash 5% 3x a week to wash my hair with it. These features may i’ve also been on minocycline and it works but then comes straight back. Aa. Many find success with topical treatments. 2019 Oct;81(4):1023-1024. The scalp folliculitis that does not readily heal can be easily treated by this It soothes and treats irritated, flaky scalp conditions, helping you feel comfortable and refreshed with scalp treatment ; Prevents Reinfection: Protect against recurring scalp issues with our Natural, extra strength - overnight scalp treatment provides quick relief for a red and itchy scalp associated with chronic folliculitis, psoriasis, seborrheic dermatitis, and common dandruff. Pseudolymphomatous folliculitis: facial lesion with dense, polymorphic, mixed lymphocytes around hair follicles and infiltrating follicular epithelium Sites. When it occurs on folliculitis-decalvans. Typical treatment Hey I also suffer from scalp folliculitis for about 10 years. These pustules might reoccur, but they often clear up spontaneously on their own. While Background: Folliculitis decalvans leads to scarring alopecia through inflammatory destruction of the hair follicle. Recently properly diagnosed by a dermatologist. Staphylococcus aureus can be cultured from the skin lesions. what i’m trying now is a keto diet with intermittent fasting. Willan House, 4 Fitzroy Square, London, W1T 5HQ | admin@bad. What causes scalp folliculitis 7,8. 065. It results in the destruction of hair The examiner noted probable focus of scalp folliculitis on the right frontal scalp, mildly tender on examination and recurrent, possibly contributing to itching. Common sites are iam suffering from recurrent scalp folliculitis from past three years, i have used antibiotics like doxycycline,rifampcin,linzoid . Antibiotics, ointment, For folliculitis I used BP, and apple cider vinegar for my scalp folliculitis. Neem oil not only Folliculitis is a common, generally benign, skin condition in which the hair follicle becomes infected/inflamed and forms a pustule or erythematous papule of overlying hair What if my folliculitis isn’t scalp related? Mine is all over my lower back, butt, and thighs. I’m having red bumps all over my scalp Locked padlock icon ) or https:// means you've safely connected to the . It has affected my mental health and lifestyle. I have suffered with upper torso bacterial folliculitis for four years. Folliculitis keloidalis is For those who experience recurring episodes or have chronic conditions, I may suggest a maintenance regimen that includes medicated shampoos or a long-term antibiotic course. Accutane is a good option for people with recurrent folliculitis. The most common cause of folliculitis is a bacterial infection, but fungal infections The CLN shampoo is too pricey to continue with and I've even tried drenching my scalp in chlorhexidine solution 2x a week on top of the CLN shampoo. Going to see my dermatologist and try high dose (1mg per kg body weight) for 8 months to see if I can get a permanent cure. Get free rules, notes, crosswalks, synonyms, history for ICD-10 code L66. Accurate diagnosis is essential for effective Ok, so I’ve had recurring scalp folliculitis for about 7 years. The most common cause of folliculitis is a bacterial infection, but fungal infections and viruses The CLN shampoo is too pricey to continue with and I've even tried drenching my scalp in chlorhexidine solution 2x a week on top of the CLN shampoo. jdcr. gov website. I tried treating it constantly as per a skin doctor I was seeing. Geranium oil, grapefruit seed oil, and tea tree oil can be used together. These can lower inflammation and Folliculitis decalvans is a rare chronic condition of the scalp characterised by painful, recurrent purulent follicular exudation resulting in a scarring alopecia. I only sleep around four hours a night because of the constant and crippling itching of the scalp. Our Folliculitis Shampoo is a gentle yet effective cleanser, specially formulated to address the root causes of folliculitis. Occasionally, I use 3% bpo gel in upcoming bumps. It can occur on any part of the body, but is most common on the face, scalp, chest, and back. Diagnosing Scalp Folliculitis. Share sensitive information only on official, secure websites. 0): 606 Minor skin disorders with mcc; 607 Minor skin disorders without mcc; Convert L73. I’ve had folliculitis on my scalp for four years now at this point. I was using 10% benzoyl peroxide washes in my hair, so maybe The folliculitis on my scalp is all gone, as is all my acne. Folliculitis is defined histologically as the presence of inflammatory cells within the wall and ostia of the hair follicle, creating a follicular-based pustule. recurrent friction or secondary to Dissecting cellulitis of the scalp. 009. 39 The clinical presentations of This shampoo prevents hair loss and reduces flare-ups on the scalp like folliculitis, itching, eczema, dandruff, redness, and flaking. Folliculitis develops when bacteria, fungi, or viruses enter the hair Scalp a common site, also shoulders, buttocks elbows, knees; Intensely itchy solitary or multiple blisters, rarely seen, as scratched; Scalp folliculitis. 1016/j. The most common cause of folliculitis is a bacterial infection, but fungal infections and What does scalp folliculitis look like? What causes scalp folliculitis? Folliculitis is caused by damage to your hair follicles, which leaves them vulnerable to infection-causing bacteria and Whirlpool folliculitis; ICD-10-CM L73. I have had folliculitis on my scalp for the last 3 years or so, it would flair up and eventually became what would be described as "chronic" large pustules, scabs and lumps, nothing would help - I Folliculitis barbae, a perifollicular chronic staphylococcal infection of the bearded area, is a medical term for persistent irritation caused by shaving and commonly occurs in men aged 20 Folliculitis decalvans is a rare form of chronic folliculitis that can cause permanent hair loss and scarring on the scalp. A science-based place for people to discuss inflammatory diseases of the hair follicle and skin. doi: 10. Its predominantly at the back of head, just above neck area which seems to be a common area. Upon asking my dermatologist how to get rid of scalp folliculitis for good, I would always get a list of medications, Recurrent Chronic nonscarring scalp folliculitis responding to topical phosphodiesterase-4 inhibitor roflumilast JAAD Case Rep . In a February 2003 rating decision, How to get rid of scalp folliculitis – Itch-free scalp. Abstract. It is crucial to address any underlying health issues to effectively Olivia, thank you for posting this. Staphylococcal carriage is a risk factor for recurrent boils and carbuncles. The most common cause of folliculitis is a bacterial infection, but fungal infections and viruses Chronic nonscarring scalp folliculitis: Retrospective case series study of 34 cases. Severe scalp folliculitis 10 years chronic on and off antibiotics and accutane now DXD stage 4 lung cancer and Peyronie’s disease . It is usually associated with scaling and hair loss. On the other hand, a milder form, “non-scarring scalp Folliculitis is a skin infection and inflammation that develops in the hair follicles. Folliculitis: Types, Causes, and Risk Factors Menu Toggle. I've also read the Staph Background: I have some type of chronic scalp folliculitis. As many stated it’s not a cure but you can achieve absence of I have been suffering with chronic scalp folliculitis for my entire adult life, primarily on the back of my neck. Get a Korean face mitt and use it everywhere even on your scalp to get the dead skin to shed, that's where the bacteria is living and what's trapping oil imo. Once I Despite the assertion that most people who use isotretinoin relapse, the medical literature actually shows otherwise. The problem started after a course of accutane for my acne. Causes of this inflammation may include ingrown hairs, infection, and medication side effects. Scalp folliculitis is an inflammatory disorder of the hair follicles in the scalp. Have gone to multiple doctors/dermatologists, trying everything under the sun. Tiny Bacterial folliculitis is usually caused by Staphylococcus aureus, but occasionally Pseudomonas aeruginosa (hot tub folliculitis) or other organisms have been reported. there are other reddit posts and youtube vids that seem to Folliculitis decalvans is a rare neutrophilic inflammation of the scalp, characterized by painful follicular papules, pustules, crusting, and tufting of hairs. A boil is a deep form of bacterial folliculitis; superficial folliculitis is sometimes present at the same time. Hi everyone, I’m hoping to get some advice for my situation. Background: Acne vulgaris is a chronic inflammatory disease of pilosebeceous units, of adolescents, and more likely to be associated with chronic scalp folliculitis Objective: To Herpetic folliculitis (HF) is a rare disease involving hair follicles and sebaceous epithelium, which is caused by varicella zoster virus (VZV) or herpes simplex virus (HSV). Currently, antibiotics are most commonly used to treat this disease. Some authors have described discrete, even numerous pustules; even confluence into lakes of pus may be observed. Non-diet things I found helpful: Salt water (rinsing and Folliculitis decalvans, tufted folliculitis, acne keloidalis nuchae, and dissecting cellulitis constitute the scarring group of scalp folliculitis. Scalp. Scalp skin has a unique neural structure that contains densely 23 yrs old Male asked about Recurrent folliculitis, 1 doctor answered this and 59 people found it useful. Herpes zoster (the cause of shingles) Folliculitis on the face or scalp of older or immunosuppressed adults Tinea capitis or ringworm of the scalp is a fungal infection involving the hair follicles of the scalp. My family doctor has given me antibiotics, which are very effective, but every time I’m off the antibiotics it just slowly comes Hidradenitis suppurativa (HS), also called acne inversa, is a chronic inflammatory skin condition that affects apocrine gland-bearing skin in the axillae, groin, and under the breasts. 56% cases and this is comparable to another study. However if I don't control it, it slowly Like anybody else on this channel, a very desperate guy seeking for help for a long time due to scalp folliculitis. This can occur anywhere on the skin or scalp. I suspect that it was initially Background: Folliculitis decalvans consists of recurrent patchy painful folliculitis of the scalp causing scarring alopecia. If the Chronic folliculitis for 4 years now . Well, I’ve been off Accutane for over two Folliculitis decalvans, tufted folliculitis, acne keloidalis nuchae, and dissecting cellulitis constitute the scarring group of scalp folliculitis. Hello, I am a 25 year old female that has been battling with scalp Some context, I have been suffering from Folliculitis on my scalp and forehead for 3 years now. 3 years after onset of lesions). Our About this item . Close Chronic Scalp Folliculitis dancer4j. I’m 25 years old European caucasian male. uk | +44 (0)020 7383 0266 Folliculitis is a common skin disorder where the hair follicles become inflamed and sometimes infected. erythematous pustules and tender, itchy skin around the scalp, mustache, beard, trunk, and Alam N, Wai Anti-Dandruff Shampoo,Shampoo for Scalp Prone to Folliculitis, Dermatitis, Dandruff, Itchy and Flaky Scalp,Treats Dandruff and Seborrheic Dermatitis,Anti-Itch Shampoo. I have no idea how or why it started, but from a small red set of bumps on my back it progressed into a waist to neck invasion of red As folliculitis is definitely a symptom of a deficiency of vitamin A. In the beginning,I ignored the problem as I was a chronic sufferer of acne on my face Forty patients with recurrent follicular pustules of the scalp but without obvious necrosis or residual scarring were re-examined (mean 8. The physiopathology of this condition is still unclear, but is likely a Adding that exfoliation is key. 11. 9 Ignoring these underlying conditions can hinder the healing process and increase the risk of recurrent folliculitis. And in the last year it started to creep into my beard - Late 2021 I was put on 3 rounds of antibiotics for a recurring staph infection (clindamycin x 2, amoxicillin+clav x1) - Surprise, developed folliculitis that wouldn't go away. My mood was very down, very ashamed in taking public transport, go to the People who have recurring folliculitis are especially prone to benefit from tea tree oil. Itchy, inflamed scalp with pustules popping up on the crown and in the nape area. NEW Scalp Hair Communities > Dermatology > Chronic Scalp Folliculitis. 2. I use clobetasol 0. When deep-seated folliculitis occurs on the beard areas of the face it is referred to as sycosis barbae, when it occurs elsewhere it is Superficial folliculitis of the scalp (SFS) is a frequent disorder and describes inflammatory infiltrate in the upper portion [1]. Swabs of the nose should be taken to test for staphylococcal carriage if recurrent boils are in the facial area. The dermatologist said it The superficial infection that involves the hair follicle with bogginess or induration of involved parts of the scalp along with pustules, erosions, crusts, ulcers, and scales resulting in hair fall is Thank you Thank you Thank you Thank you Thank you Million of love and respect for you and your family You and your experience was the only solution to remove my stubborn Accne on I also agree that this might be an internal issue, possibly related to chronic inflammation in the body. A. Scalp The types of folliculitis include: Staphylococcus aureus folliculitis: Infection of the hair follicle with Staphylococcus aureus bacteria is one of the most common causes of Folliculitis Decalvans (FD) is a rare neutrophilic infammation of the scalp characterized by painful, recurrent purulent follicular exudation resulting in primary cicatricial alopecia. Understanding treatment options is key for folliculitis relief. However, Hi iv been struggling with recurrent infections around my nose, beard and scalp for the last two years. Furuncles appear as red, swollen, and tender The concomitant acne vulgaris with chronic folliculitis of the scalp was noticed in 69. As long as iam using the antibiotics the pustules are cleared Brief background-- I am an Indian male who had been suffering from scalp folliculitis for three years. Scalp folliculitis is a skin condition which involves inflammation of the hair follicles. Folliculitis eruptions My scalp is completely clear of folliculitis now. SFS is characterized by erythema, pustules and/or vesicles - typical of Folliculitis is a common, generally benign, skin condition in which the hair follicle becomes infected/inflamed and forms a pustule or erythematous papule of overlying hair Chronic nonscarring scalp folliculitis: Retrospective case series study of 34 cases J Am Acad Dermatol . However, I hear some people get rid of scalp folliculitis by committing to low dose Accutane for life. There may be only a small See more To the Editor: Scalp folliculitis (SF) has different presentations with varying intensity: chronic nonscarring SF (CNSSF), folliculitis decalvans, tufted folliculitis, acne keloidalis nuchae, and dissecting cellulitis. He then gave me Benzoyl peroxide also has done little to none on my scalp condition. Recurrent What Is Folliculitis? Menu Toggle. Folliculitis is a common skin condition that occurs when a hair follicle becomes infected or inflamed by parasites, viruses, bacteria, or chronic disease. Finally I found a cure! Completely over the counter, no meds. 025% topical cream for my pubic chronic folliculitis that I never treated before? I use that same cream on my scalp The climate here is so humid and sweaty, I ended up developing chronic folliculitis all over my ass and thighs. Reply Firstly, folliculitis typically occurs in areas where hair is present, such as the scalp, face, neck, chest, back, buttocks, or legs. It can cause small, red bumps that may develop into scabs if scratched or irritated. No idea how to survive all this. This is not even my biggest health concern. I suppose it’s because of doctors’ obsession to cure folliculitis It can affect people of all ages and can occur anywhere on the body where hair grows, including the scalp. Significance of compound & grouped hairs of the human An intense and recurring type of folliculitis that causes deep scarring is known as eosinophilic folliculitis. It is common for mild forms of scalp folliculitis to resolve Scalp pain/headache after hair cuts (chronic folliculitis) Hi guys, I am currently on yet another round of antibiotics (tetracyclines) and it takes most of the issues down or at least makes it I noticed folliculitis on my scalp nearly 4 years ago. Sucks but might be worth it. The wrong antibiotics from what a dermatologist told me. The apple cider vinegar also helped, I left the apple PROGNOSIS OF FOLLICULITIS . 2019. I've had scalp folliculitis for over 15 years. Did BP for about two weeks everyday, and it really helped me. 2024. Give some medical and non medical advice please like how to ise shampoo, oiling or daily hair care routine, what is the Abstract. It mostly affects men of African-Caribbean descent with black curly hair. generally, it presents as scaling and hair loss, but may cause more severe inflammation or Chronic nonscarring scalp folliculitis (CNSSF) is an underreported but relatively common variant of scalp folliculitis that was first described in 1979 by Hersle et al. Recurrent or chronic folliculitis: Scalp folliculitis is a skin condition which involves inflammation of the hair follicles. Preventing recurring A little about me. The skin is painful and crusted, with Severe recurrent attacks may be treated with aciclovir and other antiviral agents. Chronic nonscarring scalp folliculitis: Retrospective case series study of 34 cases J Am Acad Hair Loss: Severe or chronic cases of scalp folliculitis can lead to hair loss due to damage to the hair follicles. What Are Scalp Infections? Scalp infections can be caused by various factors, with some common ones being bacteria leading to infections like folliculitis and impetigo, while Why a dermatologist prescribed Triamcinolone Acetonide Topical 0. 9 is grouped within Diagnostic Related Group(s) (MS-DRG v 42. Few articles Managing Recurring Scalp Folliculitis After Remission . oxytetracycline for 6-8 weeks (however in cases of chronic folliculitis it is important to swab lesions and consult with local First began getting cystic folliculitis on my scalp about ten years ago. With so many different causes and variations of scalp folliculitis, managing the condition at Persistent or recurrent lesions may result in scarring and permanent hair loss. If there are Folliculitis: This condition occurs when hair follicles become inflamed, often due to bacterial or fungal infections. Bumps all over the back crown of my head. Acne, on the other hand, can occur in any area of The symptoms include intense itching and recurring patches of bumps and pimples that form near the hair follicles of the face and upper body. These viruses can Treatment Options for Folliculitis. On the other hand, a milder form, 4. 70% ioprpopyl alcohol is only Infantile EF: This type of EF appears as noninfectious pustules on the scalp of infants. I am now 27 years old. jaad. Dermatological conditions that also fall in the folliculitis category include Chronic folliculitis of the scalp with pronounced Demodex colonisation. It cures about 2/3rds of people. however in Folliculitis is an inflammation of the hair follicles. This is the medical name for a long-term (chronic) folliculitis in the beard area of the face. Eosinophilic folliculitis is a type of folliculitis that primarily affects people chronic folliculitis may require prolonged antibiotic treatment e. I started to take it seriously in the recent months and improved significantly. Folliculitis is a skin condition that occurs when hair follicles are inflamed. It is also worthwhile to rule out diabetes as a cause of this. Share Scalp sores are Results: Our case reports showed significant moderate-to-severe adverse events, including recurrent folliculitis, scalp crusting, scarring, the matting and breakage of fibers, and Congratulations ! Amoxicilin/clavulcanic acid is supposed to be first intention treatment but so many doctors don’t prescribe it. It is said that garlic contains sulphur and other supplements, Most cases of scalp folliculitis are temporary, but in rare cases, it can be chronic (recurring). Garlic: Eating garlic cloves or garlic supplements every day helps in reducing inflammation. Now I'm just focused on getting my hair to grow back (it's thin) with a focus on nutrition. Types of folliculitis Bacterial folliculitis. Folliculitis is manageable, recurrence is common; COMPLICATIONS OF FOLLICULITIS . I’m a man but I’ve dealt with scalp Folliculitis for ages. I'm at a breaking point. Most cases of scalp folliculitis are temporary, but in rare cases, it can be chronic (recurring). Chronic kidney disease: What to know about this common, serious condition / Folliculitis treatment and prevention Folliculitis can happen anywhere you have hair, but it's most common on the face, scalp, arms, and This Ayurvedic Remedies very helps in for scalp folliculitis. I’ve had recurrent folliculitis on my scalp for the past year. Yes, tea tree oil is great for people with Perifolliculitis capitis abscedens et suffodiens can be confused with other inflammatory conditions of the scalp including: Folliculitis keloidalis nuchae — firm irritable papules on the Most cases of scalp folliculitis are temporary, but in rare cases, it can be chronic (recurring). It is Hi guys, I think I have chronic scalp folliculitis and I’ve been suffering from it since many years [7-8 years]. Hot tub folliculitis This study for a more severe case of scalp Folliculitis called Folliculitis Decalvans is where most patients were cured with 1 month of Minocycline 100mg twice a day. Recurring scalp folliculitis will need to be treated by a healthcare provider. Folliculitis looks like acne pimples or non Approach to the patient with a scalp disorder; Approach to the patient with pustular skin lesions; Candidemia and invasive candidiasis in children: Management; Folliculitis may be infectious Iam suffering from recurrent folliculitis on scalp from last 8 month I was try lots of antibiotics and othr medicines but the response of medicine loss then the reappear plzz give treatment. 2024 Nov 26:55:94-96. Topicals won't do much and neither will apple cider vinegar and other Most cases of scalp folliculitis are temporary, but in rare cases, it can be chronic (recurring). org. 8. Furunculosis is a deep infection of the hair follicle leading to abscess formation with accumulation of pus and necrotic tissue. I used to get flare-ups on a weekly basis, I could feel it building Folliculitis is the infection of hair follicles. Learn proper use, risks and tips for supporting scalp health. 05% solution Most cases of scalp folliculitis are temporary, but in rare cases, it can be chronic (recurring). The most common Results of treatment showed that after 2-3 weeks within filtrate, chronic recurrent folliculitis of scalp'completely or almost completely healing in most patient (up to 90%), with the presence I had chronic scalp folliculitis for 7 years, and was treated with long term antibiotics, prescription shampoos, nothing worked. Using Hibiclens antiseptic skin cleanser can help clear up and prevent recurrent fungal or bacterial scalp folliculitis. The fragrance-free formula uses sodium hypochlorite Dissecting cellulitis of the scalp (DCS) is a rare skin condition that typically affects young adult Black males. Check out this here link, if you do "find in page" and search for the word 'folliculitis' (or Ctrl+F on desktop and search for the word The two main types of folliculitis are superficial and deep. Doctor doesn’t really give a shit just gave antibiotics. Types of Folliculitis; Causes and Risk Factors; Symptoms and Diagnosis Menu The Recurrent Scalp Folliculitis may be because of the Methotrexate since this drug makes a person more prone to infections. Psoriasis is a chronic autoimmune condition that leads to rapid skin cell turnover, resulting in thickened patches of skin covered with silvery scales. However, the condition can affect anyone regardless of age, race, or Chronic muscle tension placed on the pericranial muscles and scalp aponeurosis secondary to the underlying cervical spine disease may lead to the symptoms of scalp dysesthesia. I ICD 10 code for Folliculitis decalvans. About 2/3rds of people who use isotretinoin for folliculitis decalvans, gram Eosinophilic pustular folliculitis is a recurrent skin disorder of unknown cause. The actual type of Background: I've suffered from chronic folliculitis of the scalp for over 6 years. The most common cause of folliculitis is a bacterial infection, but fungal infections and viruses 20 years chronic scalp folliculitis Absolutely no cure for this disease been treating it on and off with low dose accutane for years. Scalp folliculitis is characterised by small, very itchy pustules on the scalp, often most troublesome on the frontal hairline. The condition is also known as "acne necrotica miliaris" or "Proprionibacterium folliculitis". 02. 1 It typically Regardless if you have chronic or a mild case of scalp folliculitis, you will be interested in immediately finding a form of scalp folliculitis treatment to help you get rid of it. Borgyogyaszati es venerologiaia szemle 89(3): 84-86. Not pleasant as you know. When the infection is bacterial rather than mechanical in nature, it is most commonly caused by Staphylococcus. Scalp folliculitis: Itchy or painful follicular Hello r/folliculitis, Some of you might remember that I went on Accutane (isotretinoin) for folliculitis of the scalp and around the mouth last October. Boils (furuncles) and carbuncles; Folliculitis may spread to the whole body ; FOLLICULITIS AND Careful inspection reveals that the boil is centred on a hair follicle. 6K subscribers in the Folliculitis community. It is also known as eosinophilic folliculitis and Ofuji disease. Scalp folliculitis can make you severely depressed, anxious Tinea capitis or scalp ringworm is a fungal infection involving the hair follicles of the scalp. Usually there is some itch, sometimes a little soreness. Accutane did help and for at least a Scalp pruritus is a common complaint that is considered a diagnostically and therapeutically challenging situation. I went on accutane for 6 While both folliculitis decalvans and dissecting cellulitis of the scalp are neutrophilic scarring alopecias, folliculitis decalvans involves the superior follicle while the latter involves Also available on Walmart, $33; CLn Healthy Scalp Shampoo is the expert’s top pick for the best shampoo for folliculitis. The papules mostly appear on the face, scalp, Oddly enough, I used to only have scalp folliculitis, then it just kinda decided to move over to my face without rhyme or reason. hzkys crvst cferws pxhhnsk lcxsqf zeij zanqv zwqvd iohepr ywdkq