Folliculitis

Folliculitis is defined as the inflammation or infection of the hair follicle. It can be superficial or deep. At first, it looks like small red bumps or white-headed pimples around hair follicles. Acne represents a noninfectious form of folliculitis.

folliculitis

It can affect anywhere there are hairs, including chest, back, buttocks, arms, and legs.

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Age/Sex prevalence affected for folliculitis
It affects people of all ages. It occurs in both men and women but eosinophilic folliculitis occurs more frequently in males and Pityrosporum folliculitis is seen slightly more often in females.

Types Of Folliculitis ?
Types:
•Sycosis barbae – this is the medical name for chronic folliculitis in the beard area of the face in men. It often affects the upper lip and it can be difficult to treat. Numerous pustules develop in the hair follicles
•Hot tub folliculitis – This tends to affect people who use hot tubs a lot. The hot water encourages germs (bacteria) called Pseudomonas to grow. Showering after using the hot tub does not seem to reduce the chance of this infection.
Gram-negative folliculitis – this type may occur after acne has been treated with long-term antibiotics.
•Pseudo-folliculitis – this is not really a true folliculitis. It does look similar, as little lumps form at the bases of hairs.

Causes Of Folliculitis?
It can be caused by an infection -bacterial, viral, fungal, or parasitic or have a noninfectious etiology, most commonly due to follicular trauma, inflammation, or occlusion.

Risk factors for folliculitis
Conditions that make patients more susceptible include frequent shaving, immunosuppression, long-term antibiotic use, occlusive clothing and/or occlusive dressings, exposure to hot humid temperatures, diabetes mellitus, and obesity.

What Are The  Signs and symptoms?

•Clusters of small red bumps or white-headed pimples that develop around hair follicles
•Pus-filled blisters that break open and crust over
•Red and inflamed skin
•Itchy burning skin
•Tenderness

Differential Diagnosis of folliculitis

•Acne Vulgaris
•Cutaneous Candidiasis
•Miliaria
•Erythema Toxicum Neonatorum
•Fire Ant Bites
•Fox-Fordyce Disease
•Graham-Little-Piccardi-Lasseur Syndrome
•Impetigo
•Insect Bites
•Irritant Contact Dermatitis
•Milia
•Papular Urticaria
•Perioral Dermatitis
•Pruritic papular eruption of HIV disease
•Rosacea
•Sea Bather’s Eruption
•Subcorneal Pustular Dermatosis

Investigation of folliculitis
Diagnosis is mainly based on the appearance of the lesion.
Testing a sample of the fluid in the pimples or a sample of tissue can help your doctor learn what is causing the infection.

Investigation of folliculitis
Lesions that are more inflamed usually respond well to warm compresses with or without the use of a topical antimicrobial.
For deep lesions, empiric treatment with oral antibiotics that cover gram-positive organisms should be considered.
Deep folliculitis is best approached with warm compresses, followed by incision and drainage once a pustular head develops.

Diet for folliculitis
Because this infection is more common in individuals who are obese, weight reduction may be helpful.

Prognosis of folliculitis
Prognosis is good as often it is self-limiting which means that it gets better on its own, without treatment.

Complications
Infection in the hair follicle can spread deeper or to surrounding tissues, leading to boils (furuncles or carbuncles ). A generalized skin infection called cellulitis can occur sometimes.

Homoeopathic treatment of folliculitis

Belladonna
• Skin is dry, hot swollen and sensitive.
• Well indicated medicine for folliculitis.
• There is redness around the eruption.
• There are eruptions like scarlatina which spread suddenly.
• There are erythema pustules on the face.
• Wounds are suppurative.
Calcarea sulphurica
• There are little pimples under the hair.
• There are purulent exudations in or upon the skin.
• Medicine is indicated for cuts, wounds, bruises etc, unhealthy, discharging pus they do not heal readily.
Hepar sulphuris 
• Papules are prone to suppurate and extend.
• Skin is unhealthy, every little injury suppurates.
• Well indicated medicine for boils and carbuncles.
• Acne in the youth which suppurates with prickly pain.
Mercurius solubilis
• Well indicated medicine for vesicular and pustular eruptions.
• There are pimples around the main eruption.
• There is itching on eruptions which are worse from the warmth of bed.
Silicea terra
• Well indicated medicine for felons, abscess, boils and old fistulous ulcers.
• Every little injury suppurates.
• Pus from eruptions is offensive.
• Scars suddenly become painful.

For more information, you can visit AAD and AOCD.

Folliculitis

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