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Folliculitis : Definition, Causes, Symptoms, Diagnosis and Treatment

Saturday, August 11th 2012. | Disease, Skin, Hair and Nails

Folliculitis Definition

The device is schematically pilosebaceous consists of a pore surface, the center of which leaves the hair, sebaceous gland and its depth, it evacuating oily secretions (sebum), along the hair shaft. When a germ enters at the pilosebaceous unit, there may be inflammation surface: superficial folliculitis; Sometimes the whole pilosebaceous duct is colonized: it is called deep folliculitis.

On the surface, the skin is colonized by skin flora resident, which in the normal state is of no consequence. The skin flora is protective against infection. The state of the resident skin flora varies with age, hydration, sex, sites, the amount of sebum, hair density, the toiletries, cosmetics used.

Staphylococcus aureus is a germ of normal skin flora resident. However, it is often found in the perineum (20% of the population) and the nasal passages (20 to 40% of the population) in healthy carriers.

Spontaneously, or in connection with changes in external factors or favorable ground, the staph enters the pilosebaceous orifice causing folliculitis. There are factors favoring its development: diabetes, immunosuppressive therapy, immune deficiencies and topical treatments (corticosteroids). It is therefore essential, in case of recurrent folliculitis, treating carriers of Staphylococcus homes, improve a possible diabetes and minimize treatments favoring its appearance.


Folliculitis Skin (img thanks to skincareguide.ca)

Superficial Folliculitis Sign

Superficial folliculitis occur at the beginning by a small pimple forming around sacks (follicles) attached to each hair, red, tender, whose base is flexible but quickly surmounted by a pustule centered by a hair. It is an infection of the follicle but limited to the outer level of a pore.

 Superficial folliculitis sit anywhere on the set of tissues that cover the body (seed coat), except the palms and soles, and the semi-mucous membranes which are devoid of sebaceous glands. However, they are found more readily in some areas: face, beard, scalp, chest and back, buttocks and thighs, eyelashes (as styes).

 The spontaneous evolution of a lesion is simple: dry, forming a Croutelle falling without scarring. There is no local or regional complications. However, these are sometimes stubborn folliculitis, appearing in spurts exacerbated by shaving, scratching, or the existence of external factors predisposing: tight pants, repeated contact with oils or cosmetics industry giving what are called buttons oil.

What features have folliculitis of the beard?

Folliculitis of the beard are often triggered by an accidental and mechanical shaving. They recur readily. Local treatment with antiseptic rules of hygiene is essential. Without treatment, lesions may extend, reach all the pilosebaceous follicle and form the staphylococcal sycosis.

 This is a deep folliculitis of the beard, a chronic course and recurrent inflammatory component of painful red areas topped with follicular pustules. Treatment should be both general and local, along with hygiene and special care when shaving.

What features have scalp folliculitis?

Scalp folliculitis often develops chronically in conducting plates consist of follicular pustules, lined with inflammatory folliculitis. Lesions progressing slowly, leading to the formation of hair loss (alopecia) scar, that is to say definitively. Without treatment, those plaques invade the entire scalp. Treatment should be general and extended two to three months. Despite this, recurrences are common.

Folliculitis Treatment

Rules of antisepsis and topical therapy for superficial forms will be completed by a general treatment for folliculitis and prolonged and deep trolling.

It must first remove all contributing factors: sweating, maceration, tight clothing, changing the shaving technique, stop any topical steroids, treat any associated pathology (diabetes, immunosuppression) who plays a supporting role.

Hygiene rules must be strict: Wash affected areas and hands with antiseptic foaming solution, followed by a thorough rinsing. In case of folliculitis of the beard, a special shaving foam will be used. Scraping and handling injuries are not recommended. Nails should be cut short and brushed regularly. Disinfection with an antiseptic wash should follow this. Local antibiotic therapy is essential in some forms of extensive and recurrent superficial folliculitis.

Deep folliculitis, recurrent folliculitis of the scalp and folliculitis occurring on land pathological require systemic therapy: anti-staphylococcal antibiotics. The duration of treatment depends on the location of lesions, their evolution and previous ground potential.

In case of frequent recurrences and after sampling local practice, treatment of microbial deposits will be made with application of antibiotic ointment in the nostrils and mucous membranes.

Finally, we must not overlook the possibility of folliculitis pyocyaniques (pool, jacuzzi) of Gram-negative folliculitis fungal. In case of diagnostic uncertainty or treatment failure, a levy is needed to adapt the treatment.

Folliculitis Advice

Key recommendations for living with a folliculitis

- Do you have a good understanding of your illness?

  • Understand the problem is part of the treatment and care. If you have any questions or uncertainties report it to your doctor before reread our articles and feel free to further explore our information via the links.
  • This disease has a significant personal impact but it is benign
  • Have you an accurate idea of protective factors is the case if you think to apply them?

- How to Live With: How hygiene?

  • The hands washed several times a day,
  • Short fingernails and carefully brushed,
  • shaving soft, preferably with an electric razor to protect the cheeks
  • A shower: everyday 
  • Cosmetics suitable if major secretion of sebum on the face.

- How to Live With: clothes

  • The towels must be individual, regularly changed and washed thoroughly
  • professional clothing soaked with fat should be changed often,

If folliculitis members or buttocks, wearing tight clothing will be prohibited;

If overweight avoid friction factors and confinement. maceration in the folds must be fought. 

- How to Live With: habits

- Tobacco: It is advisable to stop smoking because it is a piece of advice for anyone who smokes 

- Alcohol: considered an aggravating factor it is advisable to limit intake

- How to live with: the weather 

  • Heat : hot and humid countries are not recommended.  
  • Cold weather: no special instructions

- How to live with: the environment

  • Pollution: no specific recommendations related to the disease

- How to Live With: sun exposure

  • Sun exposure is not recommended. Check our drug database that sun exposure is permitted with the medication you were prescribed

Folliculitis Ask and Question

“Folliculitis is contagious?”

Yes, given the presence of Staphylococcus aureus to the skin.This is especially a contagious and a neighborly possible dissemination to other hair follicles. As with any source of infection it is necessary to take basic hygiene precautions and especially in the presence of children, pregnant women or older people with impaired immunity

 “Does recurrent folliculitis?

Yes, the lesions of superficial folliculitis unless the lesions deep folliculitis. It depends on compliance with treatment, knowing that suffering can see deep further relapses despite correct treatment.

“ How to avoid recurrence of folliculitis? “

First, following the rules of hygiene recommended above.Then in accordance with the treatments whether they are local care or treatment in general and do not prematurely halting. The duration of treatment is an essential component of its action. 

 “Does folliculitis leave scars? ”

In case of deep lesions, inflammatory and very happy at the same places recurrent, pigmented scars may stay especially if the lesions were scraped: most often in the neck or legs


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