Folliculitis is a common skin condition that is mainly caused by bacteria entering the hair follicle or clogging the pores. Folliculitis causes redness and swelling of the hair follicles and can be accompanied by itching or pain. What is folliculitis and what causes it, its types and methods of diagnosis and treatment of this disease. Stay with us until the end of the article.
What is folliculitis?
Hair follicles are small skin cavities from which hair grows. These cavities are all over your body except your lips, palms and soles. Some factors can irritate the hair follicles and cause them to become swollen and red, causing folliculitis. The disease is more common in the neck, thighs, buttocks, and armpits, and in most cases resolves with self-medication, but you may need to see a doctor in severe cases.
Different types of folliculitis have different names that can be mentioned:
- Welding correction;
- Barber itching;
- Boiling bathtub;
- Blisters after shaving.
Cause of folliculitis and risk factors
In most cases, a bacterium called Staphylococcus is to blame. This bacterium is always present on the skin and does not cause problems naturally; But if it enters the body through a method such as cutting the skin, it can cause trouble. In addition, fungal, viral and physical injuries can cause folliculitis. The following can also be mentioned:
- Hair tightening;
- Subcutaneous hair growth;
- Overweight or obesity;
- Clothes that rub against the skin;
- Use of a jacuzzi or contaminated swimming pool;
- Skin injuries such as cuts or insect bites;
- Sweat or substances that stimulate the follicle;
- Skin diseases such as pimples or dermatitis;
- Obstruction caused by skin products such as moisture along with fat;
- Other bacteria, such as those in the tub or jacuzzi;
- Substances that clog the skin, such as bitumen or engine oil;
- Removing excess hair such as shaving, waxing or hair removal;
- Long-term use of some medications such as antibiotics or steroid creams;
- Weakened immune system with diseases such as diabetes, HIV or cancer;
- Covering the skin with breathable materials such as tape or rubber;
- An infected cut or wound that allows bacteria to spread near the hair follicle;
- Wear tight clothing, rubber gloves or boots that do not allow sweat and heat to escape.
Types of folliculitis
In general, folliculitis is divided into two important types:
- Superficial folliculitisOccurs when only parts of the follicle are damaged.
- Deep folliculitis: All follicles are damaged.
Types of superficial folliculitis
- Bacterial folliculitis: It is the most common type of folliculitis in which itchy white blisters appear full of pus. This type of folliculitis can be caused by skin lesions and the entry of bacteria (usually Staphylococcus aureus or Staph).
- Jacuzzi folliculitis (Pseudomonas folliculitis): This type of folliculitis can be caused by swimming in a pool or sitting in a jacuzzi where the pH or chlorine level is not balanced. Symptoms usually appear within 72 hours of being in the water, and in mild cases disappear within 5 days, and are most commonly seen in areas covered with swimwear or on the backs of the feet.
- Blisters after shaving: This type of folliculitis is caused by subcutaneous hair related to shaving or waxing. This problem affects 60% of black men and people with curly hair and is common in the genital area. In this type of folliculitis, colloidal black blisters may develop after shaving in the face and neck area and after using wax in the groin area.
- Folliculitis petirosporum (Pityrosporum folliculitis): This type of folliculitis is caused by a yeast infection and causes red, itchy, pus-filled pimples that are more common in the upper body, especially in the back and chest; But it can also be seen on the neck, shoulders and face, and is more common in young men and women.
Types of deep folliculitis
- Folliculitis cycosis (Sycosis barbae): Occurs when the entire follicle becomes infected after shaving. This folliculitis causes large, red, purulent blisters, and is a severe form of post-shave folliculitis that can cause permanent scarring and hair loss.
- Gram-negative folliculitis: This type of folliculitis is caused by the long-term use of antibiotics to treat acne. It actually happens when the bacteria become resistant to antibiotics and make the boil worse. Sometimes this type of folliculitis goes away as soon as the antibiotic course is over.
- Folliculitis of the cork and scab (Boils and carbuncles): Cork (a red blister that can become tender and painful) occurs when the hair follicle is severely infected. Skimmer is a type of severe cork.
- Eosinophilic folliculitis: This type of folliculitis usually occurs in children and people with diseases of the immune system that cause itchy blisters full of pus. These blisters are often found on the shoulders, upper arms, neck and forehead and can cause dark spots on the skin. The cause of this disease is unknown, but researchers believe that cream of hair follicles can cause this disease.
What are the symptoms of folliculitis?
Folliculitis may initially look like pimples, small red blisters, or yellow or white pimples, but over time it spreads near the hair follicle, causing scaly scars. The disease may involve one or more follicles and persist for a short time (acute cases) or long periods (chronic cases).
The symptoms of the disease largely depend on the type and severity of your folliculitis and can include the following:
- Scaly scabs;
- Small red blisters;
- Purulent wounds;
- Inflamed skin;
- Red skin;
- Mild fever;
- the pain;
Complications of folliculitis
Although the disease is not fatal, it may have side effects such as the following:
- Recurrent follicle infection;
- Cellulite or skin infection;
- Scars or dark spots;
- Permanent hair loss due to follicle damage;
- Infections that spread to other areas.
Diagnosis of folliculitis
Your doctor will usually be able to diagnose the disease by carefully examining your skin and asking questions about your medical history.
Except in cases where conventional therapies do not work, testing is usually not needed. For the test, the doctor swabs the infected area and examines it to accurately diagnose the cause of the disease. In rare cases, a biopsy or skin biopsy is performed.
Treatment of folliculitis
Mild folliculitis goes away without any treatment, but you can also use home remedies and medication (as prescribed by your doctor).
1. Home treatment of folliculitis
- Cleaning the infected area: Wash the area twice a day with warm water and antibacterial soap. Fibers can cause skin inflammation. Use fresh towels or towels instead. Wash all towels after use to reduce the risk of infection.
- Use of salt: Dissolve 1 tablespoon of salt in 2 cups of water, pour on a towel and place on your skin. You can also try white vinegar.
- Use gels, creams or detergents: Take over-the-counter antibiotics and apply to your skin. If you have itching, you can use oatmeal or hydrocortisone cream.
- Hot compress: Applying a warm compress to the affected area can reduce pain and remove pus. For this purpose, soak a cloth in warm water and take the excess water and put it on your skin for 20 minutes. Repeat if necessary.
- Relaxing bath: Exposure to warm water can help reduce the itching and pain of folliculitis. Adding oats or products containing oats to water can be helpful because of its anti-inflammatory properties. Adding a cup of baking soda to water can also help reduce symptoms. Dry your skin thoroughly after bathing.
- Skin protection: Avoid wearing tight and provocative clothing. Do not scratch your skin. Reduce the use of harmful chemicals or skin care products and minimize correction as much as possible. Use lubricant and a clean, sharp razor when shaving.
۲. Pharmacological treatment of folliculitis
There are several medications used to treat folliculitis based on the cause of the disease and the doctor’s diagnosis. These include the following:
- Oral corticosteroids;
- Topical antibiotic creams;
- Oral antibiotics;
- Topical antifungal creams;
- Oral antifungals;
- Steroid creams;
- Antifungal shampoos.
According to some studies, light therapy or photodynamic therapy can help improve the symptoms of profound folliculitis.
Phototherapy is sometimes used to treat acne. To do this, a combination of light and chemicals is used to kill bacteria, fungi and viruses.
4. to knock
Sometimes the doctor will make a small lesion on the pus and scab to drain the pus. The goal is to reduce pain and encourage faster recovery.
5. Laser hair removal
Laser treatment can help reduce folliculitis and treat the infection. Laser hair destruction destroys hair follicles and the follicles can no longer become inflamed or infected.
Prevention of folliculitis
To reduce the risk of developing folliculitis, it is best to leave shaving for 3 months; But many people are not interested in this solution; As a result, it may be best to use an electric shaver or hair removal products or other hair removal methods. If this method does not work for you, make sure the following:
- Wash your face with warm water and gentle cleanser;
- Use shaving gel or cream instead of soap and let it stay on your skin for 10 to 15 minutes to soften your hair;
- Use a new razor each time to shave to make sure it is clean and sharp. Single blades are ideal;
- Shave in the direction of hair growth;
- Wash your skin with warm water and use a moisturizing lotion;
Also, do not wear clothes such as lacquer synthetic fibers, plastic gloves, and long boots that irritate your skin or retain heat and sweat.
Limit the use of oily and oily skin products. These substances can block and trap bacteria. Also consider the following:
- Wash your hands regularly.
- Use the Jacuzzi only when you are sure it is clean and properly cared for;
- Avoid irritants such as tight clothing, chemicals and harmful products.
- Use clean towels, razors and other personal items and do not share them with others.
- You should consult your doctor if you are taking medications that increase the risk of folliculitis.
Now you know what folliculitis is. Have you ever had folliculitis? چه What method did you use to treat it? How much do you care about this problem? If you wish, you can share your experience and opinion with us in the comments section, and send this article to your loved ones through social networks.