Folliculitis Skin Disease Type
Folliculitis is characterized by
red-ringed papules and pustules at hair follicles. Gramnegative folliculitis
may be spread by contaminated hot tubs. Gram stain and culture will help to
differentiate bacterial from nonbacterial folliculitis. History is important
for pinpointing the cause of non-bacterial folliculitis.
Causes (Skin Disease Type)
Most carbuncles, furuncles, and other cases of folliculitis
develop from Staphylococcus aureus and
Pseudomonas aeruginosa. Folliculitis starts when hair follicles are damaged by
friction from clothing, an insect bite, blockage of the follicle, shaving,
or braids too tight and too close to the scalp. In most cases of folliculitis,
the damaged follicles are then infected with thebacterium Staphylococcus.
Folliculitis usually affects those in their early adult life, and may persist
till their early 30s. Warmer weather may worsen the condition.
Symptoms(Skin Disease Type)
• rash
(reddened skin area)
• itching
skin
• pimples
or pustules located around a hair follicle
•
may crust over
•
typically occur on neck, armpit, or groin area
•
may present as genital lesions
• spreading
from leg to arm to body through improper treatment of antibiotics
Treatment (Skin Disease Type)
1.
Topical antiseptic treatment is adequate for most
cases
2.
Topical antibiotics such as mupirocin or
neomycin containing ointment
3.
Some patients may benefit from systemic
narrow-spectrum penicillinase-resistant penicillins (such as dicloxacillin in
US, or flucloxacillin in UK)
4.
Fungal folliculitis can worsen with antibiotics
and may require an oral antifungal such as Fluconazole. Topical antifungals
such as Econazole Nitrate may also be effective.
Folliculitis may recur even after symptoms have gone away.
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