Skin Disorders and Treatment

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Folliculitis

Folliculitis is an inflammation of the hair follicles caused by infection (coagulase-positive staphylococci) or physical or chemical irritation. The most common form of superficial folliculitis is idiopathic. More serious forms of folliculitis involve the deep portion of the hair follicle and, usually, are more symptomatic and may cause scarring.

Symptoms of Folliculitis

The most common symptoms are:

• Rash
• Reddened skin area
• Pimples or pustules located around a hair follicle
• Itchy skin

Types of Folliculitis

There are a different types of folliculitis:

• Barber's itch
• Tinea barbae
• Pseudo folliculitis barbae

Treatment of Folliculitis

Treatment of most superficial infections may not require the use of antibiotics. Cleaning the infected area thoroughly with soap and water, or with a disinfectant preparation containing chlorhexidine or povidone iodine, is usually effective.

Applying moist heat compresses to the local area helps promote vasodilation (dilation of the blood vessels) and drainage from the lesions.

• Minimize friction from clothing.
• Avoid shaving the area if possible. If shaving is necessary, use a clean new razor blade or an electric razor each time.
• Keep the area clean.
• You will need to take antifungal pills, such as fluconazole (Diflucan), griseofulvin (Fulvicin-U/F or Gris-PEG, for example), itraconazole (Sporanox), or terbinafine (Lamisil).
• Your doctor may give you a corticosteroid to reduce inflammation.

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