folliculitis


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Related to folliculitis: folliculitis decalvans

Folliculitis

 

Definition

Folliculitis is inflammation or infection of one or more hair follicles (openings in the skin that enclose hair).

Description

Folliculitis can affect both women and men at any age. It can develop on any part of the body, but is most likely to occur on the scalp, face, or parts of the arms, armpits, or legs not usually covered by clothing.
Small, yellowish-white blister-like lumps (pustules) surrounded by narrow red rings are usually present with both bacterial folliculitis and fungal folliculitis. Hair can grow through or alongside of the pustules, which sometimes ooze blood-stained pus.
Folliculitis can cause boils and, in rare instances, serious skin infections. Bacteria from folliculitis can enter the blood stream and travel to other parts of the body.

Causes and symptoms

Folliculitis develops when bacteria, such as Staphylococcus, or a fungus enters the body through a cut, scrape, surgical incision, or other break in the skin near a hair follicle. Scratching the affected area can trap fungus or bacteria under the fingernails and spread the infection to hair follicles on other parts of the body.
The bacteria that cause folliculitis are contagious. A person who has folliculitis can infect others who live in the same household.
Factors that increase the risk of developing folliculitis include:
  • dermatitis
  • diabetes
  • dirty, crowded living conditions
  • eczema
  • exposure to hot, humid temperatures
  • infection in the nose or other recent illness
  • tight clothing

Diagnosis

Diagnosis is based on the patient's medical history and observations. Laboratory analysis of the substance drained from a pustule can be used to distinguish bacterial folliculitis from fungal folliculitis.

Treatment

Bacterial folliculitis may disappear without treatment, but is likely to recur. Non-prescription topical antibiotics like Bacitracin, Mycitracin, or Neomycin, gently rubbed on to affected areas three or four times a day, can clear up a small number of bacterial folliculitis pustules. Oral antibiotics such as erythromycin (Erythocin) may be prescribed if the infection is widespread. The drug griseofulvin (Fulvicin) and topical antifungal medications are used to treat fungal folliculitis.
A doctor should be notified if:
  • pustules spread after treatment has begun or reappear after treatment is completed
  • the patient's fever climbs above 100 °F (37.8 °C)
  • the patient develops boils or swollen ankles
  • redness, swelling, warmth, or pain indicate that the infection has spread
  • unexplained new symptoms appear

Alternative treatment

Eating a balanced diet, including protein, complex carbohydrates, healthy fats, fresh fruits and vegetables, and drinking eight to 10 glasses of water a day may stimulate the body's immune system and shorten the course of the infection. Garlic (Allium sativum) and goldenseal (Hydrastis canadensis), both antiseptic agents against staph infections, may be taken. The daily dosage would vary from person to person and is based on the severity of the infection. Echinacea (Echinacea spp.) is helpful in modulating immune function. Again, the dosage would vary.
Daily doses of 30-50 mg zinc and 1,000-5,000 mg Vitamin C (taken in equal amounts at several times during the day), and 300-2,000 mg bioflavinoids can also strengthen the body's infection-fighting ability. High doses of vitamins and minerals should not be used without a doctor's approval.

Prognosis

If properly treated, the symptoms of bacterial folliculitis generally disappear in about two weeks. Fungal folliculitis should clear up within six weeks. But it can worsen if the condition is misdiagnosed and inappropriately treated with steroid creams.

Prevention

Anyone who has a tendency to develop folliculitis should cleanse the skin with antibacterial soap twice a day and before shaving and should not use oily skin lotions. Men should not shave while the beard area is infected. When they begin shaving again, they should use a new blade each time. Women who have had fungal folliculitis should use depilatory creams instead of razors. Daily shampooing can help prevent folliculitis in the scalp. The spread of infection can be prevented by not sharing towels or washcloths.

Resources

Other

"Folliculitis." Thrive Online. April 5, 1998. http://thriveonline.oxygen.com.

folliculitis

 [fŏ-lik″u-li´tis]
inflammation of a follicle(s); used ordinarily in reference to hair follicles, but sometimes in relation to follicles of other kinds.
folliculitis bar´bae sycosis barbae.
gram-negative folliculitis a superinfection complicating long-term systemic antibiotic treatment of acne vulgaris, particularly tetracyclines, usually caused by species of Enterobacter, Klebsiella, or Proteus.
keloid folliculitis infection of hair follicles of the back of the neck and scalp, occurring chiefly in men, producing large, irregular keloid plaques and scarring.

fol·lic·u·li·tis

(fŏ-lik'yū-lī'tis),
An inflammation of a hair follicle; the lesion may be a papule or pustule.

folliculitis

(fə-lĭk′yə-lī′tĭs)
n.
Inflammation of a follicle, especially of a hair follicle.

fol·lic·u·li·tis

(fŏ-lik'yū-lī'tis)
An inflammatory reaction in hair follicles; the lesions may be papules or pustules.

folliculitis

Inflammation of hair FOLLICLES causing multiple small boils or pimples. The inflammation usually results from STAPHYLOCOCCAL INFECTIONS.

Patient discussion about folliculitis

Q. How can folliculitis be treated?

A. that ^ is true, it passes by itself after couple of weeks. what you should be aware of is the causes of it , that can give you an idea how to avoid it next time:

* Use a hot tub, whirlpool, or swimming pool that is not properly treated with chlorine.
* Wear tight clothes.
* Use antibiotics or steroid cream for long periods.
* Use or work with substances that can irritate or block the follicles. Examples include makeup, cocoa butter, motor oil, tar, and creosote.
* Have an infected cut, scrape, or surgical incision. The bacteria or fungi can spread to nearby hair follicles.
* Have a disease such as diabetes or HIV that lowers your ability to fight infection.

More discussions about folliculitis
References in periodicals archive ?
Tinea capitis due to Trichophyton soudanense mimicking bacterial folliculitis. Mycoses.
There is even a condition referred to as "hot tub folliculitis".
Distribution of Cases of Primary and Secondary Pyoderma Primary Pyodermas n Secondary Pyodermas n Impetigo 9 (18%) Infective Pemphigus 22(44%) Folliculitis 2 (4%) Infective SJS 8 (16%) Carbuncle 1 (2%) Infective Exfoliative 4 (8%) dermatitis Infective Scabies 3 (6%) Infective Atopic 1 (2%) dermatitis Total 12 (24%) 38 (76%) Table 3.
Perforating folliculitis is often associated with chronic renal failure, diabetes mellitus, and other systemic diseases.
We also found a statistically significant relationship between the patients' job and solar elastosis and folliculitis; this has not been reported previously.
He described a typical patient: a 37-year-old woman referred to him by her primary care physician for chronic folliculitis of the lower legs who failed sequential treatment with ciprofloxacin, cephalexin, and amoxicillin combined with clavulanate potassium (Augmentin).
PHILADELPHIA -- The female fight against unwanted hair has descended to the pubic region: Many teens are now removing all of their pubic hair, increasing their risk of developing vulvar folliculitis.
In men who haven't been sexually active, they may be due to folliculitis (inflammation around hair follicles).
A: One of the most common causes of this complaint is an inflammation of the hair follicles called "eosinophilic folliculitis" (EF).
Out of bacterial infections, 12 (42.9%) patients had folliculitis, 11 (39.3%) had impetigo and 5 (17.8%) patients had furunculosis.
(G: Honeycomb): It is defined as an acute dermatophytic perforating folliculitis of the scalp due to a hypersensitivity mechanism.