Folliculitis

12 min read

Folliculitis is a common skin condition that occurs when hair follicles become inflamed. It is caused by a bacterial or fungal infection, or by an irritation from shaving, waxing, or wearing tight clothing. Folliculitis can affect any part of the body that has hair, but it is most common on the face, scalp, chest, back, buttocks, and legs. It can range from mild to severe, and can cause itching, burning, and tenderness.

Causes of Folliculitis

Folliculitis is usually caused by a bacterial or fungal infection, such as Staphylococcus aureus or Candida albicans. It can also be caused by an irritation from shaving, waxing, or wearing tight clothing. In some cases, it can be caused by an allergic reaction to certain products or medications.

Risk Factors for Folliculitis

Certain factors can increase your risk of developing folliculitis, including:

  • Having a weakened immune system
  • Having diabetes
  • Having a skin condition such as eczema or psoriasis
  • Having a skin injury or wound
  • Using hot tubs or swimming pools that are not properly maintained
  • Shaving or waxing your skin
  • Using oils or lotions that contain fragrances or other irritants

Diagnosis of Folliculitis

Your doctor will examine your skin and ask about your medical history. They may also take a sample of the affected area to test for bacteria or fungi. In some cases, they may also order a blood test to check for underlying conditions that may be causing the folliculitis.

Prevention of Folliculitis

To help prevent folliculitis, you should:

  • Avoid shaving or waxing your skin
  • Avoid using oils or lotions that contain fragrances or other irritants
  • Avoid using hot tubs or swimming pools that are not properly maintained
  • Keep your skin clean and dry
  • Wear loose-fitting clothing
  • Treat any skin conditions, such as eczema or psoriasis, promptly
Take the Folliculitis Assessment

Symptoms

Redness and Itching

One of the most common symptoms of folliculitis is redness and itching around the affected area. The redness may be accompanied by swelling, and the itching can range from mild to severe. In some cases, the itching may be so intense that it causes discomfort or pain.

Pus-Filled Bumps

Another symptom of folliculitis is the presence of pus-filled bumps. These bumps may be small and white, or they may be larger and red. They may also be painful or itchy. In some cases, the bumps may burst and release a yellowish or greenish pus.

Hair Loss

In some cases, folliculitis can lead to permanent hair loss. This is especially true if the condition is left untreated. The hair loss may be localized to the affected area, or it may be more widespread. In some cases, the hair may grow back, but it may be thinner or more brittle than before.

Scarring

In some cases, folliculitis can lead to scarring. This is especially true if the condition is left untreated. The scarring may be localized to the affected area, or it may be more widespread. In some cases, the scarring may be permanent.

When to See a Doctor

If you are experiencing any of the symptoms of folliculitis, it is important to see a doctor. Your doctor can diagnose the condition and recommend a treatment plan. In some cases, the condition may require antibiotics or other medications. It is important to follow your doctor's instructions to ensure that the condition does not worsen or lead to more serious complications.

Causes

Bacteria

One of the most common causes of folliculitis is bacteria. Staphylococcus aureus is the most common type of bacteria that can cause folliculitis. This bacteria is found on the skin of many people, but it can cause an infection when it gets into the hair follicles. Other types of bacteria, such as Pseudomonas aeruginosa, can also cause folliculitis.

Fungi

Fungi can also cause folliculitis. The most common type of fungus that can cause folliculitis is called Malassezia. This fungus is found on the skin of many people, but it can cause an infection when it gets into the hair follicles. Other types of fungi, such as Candida, can also cause folliculitis.

Irritants

Irritants can also cause folliculitis. These irritants can include chemicals, such as those found in soaps and detergents, as well as physical irritants, such as clothing that is too tight or rough fabrics. These irritants can cause inflammation of the hair follicles, leading to folliculitis.

Hormones

Hormones can also play a role in causing folliculitis. Hormonal changes, such as those that occur during puberty or pregnancy, can cause an increase in oil production, which can lead to folliculitis. In addition, certain medications, such as steroids, can also cause an increase in oil production, leading to folliculitis.

Immune System

The immune system can also be a factor in causing folliculitis. People with weakened immune systems, such as those with HIV/AIDS or those undergoing chemotherapy, are more likely to develop folliculitis. In addition, people with certain skin conditions, such as eczema or psoriasis, are also more likely to develop folliculitis.

Getting a Diagnosis

Diagnostic Tests

The first step in diagnosing folliculitis is to take a medical history and perform a physical examination. During the physical examination, the doctor will look for signs of infection, such as redness, swelling, and pus. The doctor may also take a sample of the affected area to be tested in a laboratory. This can help to identify the cause of the folliculitis and determine the best treatment plan.

In some cases, the doctor may order additional tests, such as a skin biopsy or a culture of the affected area. A skin biopsy involves taking a small sample of skin and examining it under a microscope. A culture is a test that is used to identify the type of bacteria or fungus that is causing the infection.

Treatment

Once the cause of the folliculitis has been identified, the doctor will recommend a treatment plan. Treatment may include antibiotics, antifungal medications, or topical creams. In some cases, the doctor may recommend laser therapy or other procedures to remove the affected area.

It is important to follow the doctor's instructions and take all medications as prescribed. This will help to reduce the risk of the infection spreading and reduce the risk of complications.

Questions for Your Doctor

Symptoms

Be sure to tell your doctor about any symptoms you are experiencing. Common symptoms of folliculitis include red bumps, itching, and burning. You may also have pus-filled blisters or scabs. Your doctor will need to know the location of the bumps and how long you have had them.

Medical History

Your doctor will also need to know your medical history. Tell your doctor if you have had any skin conditions in the past, such as acne or eczema. Also, let your doctor know if you have any allergies or if you are taking any medications.

Treatment Options

Your doctor will discuss treatment options with you. Depending on the cause of your folliculitis, your doctor may prescribe antibiotics or antifungal medications. In some cases, your doctor may recommend over-the-counter creams or ointments. Your doctor may also suggest lifestyle changes, such as avoiding shaving or wearing loose-fitting clothing.

Follow-up Appointments

Your doctor may recommend follow-up appointments to monitor your progress. Be sure to keep all of your follow-up appointments and let your doctor know if your symptoms worsen or if you experience any new symptoms.

Treatment

Topical Antibiotics

Topical antibiotics are often used to treat mild cases of folliculitis. These medications are applied directly to the affected area and can help reduce inflammation and kill bacteria. Common topical antibiotics used to treat folliculitis include mupirocin, clindamycin, and erythromycin.

Oral Antibiotics

In more severe cases of folliculitis, oral antibiotics may be prescribed. These medications are taken by mouth and can help reduce inflammation and kill bacteria. Common oral antibiotics used to treat folliculitis include doxycycline, minocycline, and cephalexin.

Topical Steroids

Topical steroids are sometimes used to reduce inflammation and itching associated with folliculitis. These medications are applied directly to the affected area and can help reduce redness and swelling. Common topical steroids used to treat folliculitis include hydrocortisone, triamcinolone, and clobetasol.

Antifungal Medications

In cases of fungal folliculitis, antifungal medications may be prescribed. These medications are applied directly to the affected area and can help reduce inflammation and kill the fungus. Common antifungal medications used to treat folliculitis include clotrimazole, miconazole, and terbinafine.

Home Remedies

In addition to medications, there are several home remedies that can help reduce the symptoms of folliculitis. These include applying warm compresses to the affected area, using over-the-counter hydrocortisone cream, and avoiding tight clothing that may irritate the skin. It is also important to keep the affected area clean and dry to prevent further irritation.

Drugs & Medications

Antibiotics

Antibiotics are the most common treatment for folliculitis caused by bacteria. These medications work by killing the bacteria that cause the infection. Common antibiotics used to treat folliculitis include clindamycin, erythromycin, and cephalexin. Your doctor may also prescribe an antibiotic ointment or cream to apply directly to the affected area.

Antifungal Medications

If your folliculitis is caused by a fungus, your doctor may prescribe an antifungal medication. These medications work by killing the fungus that is causing the infection. Common antifungal medications used to treat folliculitis include clotrimazole, miconazole, and terbinafine. Your doctor may also prescribe an antifungal cream or ointment to apply directly to the affected area.

Topical Creams

Your doctor may also prescribe a topical cream or ointment to help reduce inflammation and itching. These creams may contain ingredients such as hydrocortisone, benzoyl peroxide, or salicylic acid. Your doctor may also recommend over-the-counter creams or ointments that contain these ingredients.

Conclusion

Folliculitis is a common skin condition that can be caused by bacteria, fungi, or viruses. Treatment for folliculitis depends on the cause, but may include antibiotics, antifungal medications, or topical creams. If you think you may have folliculitis, it is important to see your doctor for a diagnosis and treatment plan.

Diet

What to Eat

Including certain foods in your diet may help reduce inflammation and improve skin health. These include:

  • Omega-3 fatty acids: Found in fatty fish, such as salmon, mackerel, and sardines, as well as walnuts, flaxseeds, and chia seeds.
  • Vitamin A: Found in sweet potatoes, carrots, spinach, kale, and other dark leafy greens.
  • Vitamin C: Found in citrus fruits, bell peppers, broccoli, and strawberries.
  • Zinc: Found in oysters, beef, pork, beans, nuts, and seeds.
  • Probiotics: Found in yogurt, kefir, kimchi, and other fermented foods.

What to Avoid

Certain foods may increase inflammation and worsen skin health. These include:

  • Refined carbohydrates: Found in white bread, pasta, and other processed foods.
  • Sugar: Found in candy, soda, and other sweetened beverages.
  • Trans fats: Found in fried foods, processed snacks, and margarine.
  • Processed meats: Found in hot dogs, bacon, and other processed meats.
  • Alcohol: Found in beer, wine, and other alcoholic beverages.

Eating a balanced diet that includes plenty of fruits, vegetables, and healthy fats can help improve skin health and reduce inflammation. Avoiding processed foods, sugar, and alcohol can also help.

Lifestyle

Keep the Skin Clean and Dry

The first step in managing folliculitis is to keep the skin clean and dry. This means washing the affected area with a mild soap and water twice a day. After washing, it is important to dry the area thoroughly. Avoid using harsh soaps or scrubbing the skin too vigorously, as this can irritate the skin and make the condition worse.

Avoid Tight Clothing

Tight clothing can trap sweat and bacteria against the skin, which can worsen folliculitis. It is best to wear loose-fitting clothing that is made of natural fibers such as cotton. This will help keep the skin dry and allow it to breathe.

Avoid Shaving

Shaving can irritate the skin and increase the risk of folliculitis. If you must shave, use a clean razor and shave in the direction of hair growth. Avoid using electric razors, as they can cause more irritation. If possible, try to let the hair grow out and avoid shaving altogether.

Keep the Area Clean

It is important to keep the area clean and free of bacteria. This means avoiding activities such as swimming in public pools or hot tubs. If you must go swimming, make sure to shower immediately afterwards and dry the area thoroughly. It is also important to avoid sharing towels, clothing, or other items with someone who has folliculitis.

See a Doctor

If the symptoms of folliculitis do not improve with lifestyle changes, it is important to see a doctor. A doctor can diagnose the condition and recommend the best treatment plan. In some cases, a doctor may prescribe antibiotics or other medications to help clear up the infection.

Conclusion

Folliculitis is a common skin condition that can cause redness, itching, and inflammation around the hair follicles. Fortunately, there are some lifestyle tips that can help reduce the symptoms of folliculitis. These include keeping the skin clean and dry, avoiding tight clothing, avoiding shaving, and keeping the area clean. If the symptoms do not improve with lifestyle changes, it is important to see a doctor for further treatment.