Folliculitis: Types and Treatments

Found some small crusty bumps on your skin? Are these accompanied by soreness, itching, swelling, or pus?

If these are turning red, white, or yellow in color, it is a clear indication that you are dealing with some serious skin problem. Though crusty skin and bumps can be due to scabies, a mite infestation which causes itching, yet if it is affecting your hair follicles, the problem is Folliculitis.

What is folliculitis?

Referred to as an inflammation or infection which affect one or more follicles, which are the small cavities surrounding the roots of your hair.As far as their presence is concerned, these can occur anywhere on your skin. However, these are most likely to be found on your neck, thighs, buttocks, and armpits. Initially, you will observe them to be small bumps, similar to acne or a rash. And it can be acute or chronic, depending on the time these remain on your skin.

Further, this skin problem can be classified into four different categories. Below you will them in detail with their treatment options. Get started:

Bacterial Folliculitis:The major cause of bacterial folliculitis is a result of one of the types of the Pseudonomas, Proteus, Staphylococcus, or Coliform bacteria. Getting underyour skin, it can easily infect your hair follicle and these spread to other body parts easily. One of the most common types of bacterial folliculitis is Superficial Folliculitis. It is also known as Impetigo. As it consists of pustules, the infection can go deeper into the skin leading to pain and pus. The worst part is that these can result in scarring of the skin.

Treatment: To get rid of the same you are advised to consider topical antibiotic like Mupirocin or fusidic acid ointment. In case of deeper infection, you might require broad-spectrum antibiotics such as macrolides, cephalosporins, or fluoroquinolone.

Fungal Folliculitis:Coming to the fungal infections, these can be either superficial or deep. Yes, they might spread to the blood or internal organs. Divided into three categories, Dermatophytic Folliculitis, Pityrosporum Folliculitis and Candida Folliculitis, these can be from moderate to severe.

The first one, i.e. dermatophytic folliculitis is caused by a fungal species and is directly related to the depth of fungal penetration. Skin problems like Athlete’s Foot and Jock Itch are well-known types of this condition. They can lead to unsightly pustules of different sizes which are present filled with pus. And these might cause scarring. In case of deeper penetration, it might lead to fever, pain, and permanent hair loss. Secondly, pityrosporum folliculitis occurs when yeast is able to enter a hair follicle. It causes an itchy skin eruption. Lastly, candida folliculitis is caused by the Candida fungus.

Treatment:For dermatophytic folliculitis you can use a topical antifungal medication.Griseofulvin and TerbinafineHClcan be used as treatment options for pityrosporum folliculitis. And candida folliculitis is best treated with Itraconazole, a broad-spectrum antifungal agent.

Parasitic Folliculitis: The two major, natural hosts of the hair follicle are DemodexFolliculorum and DemodexBrevis. These parasites form burrows into a hair follicle, live there, and lay their eggs.

Treatment:You might be advised for a topical Permethrin cream.

Viral Folliculitis: Being a not so common infection, it is said to occur due to a virus such as the herpes simple virus or herpes zoster virus.

Treatment: Use of oral antihistamine can be helpful in early stage. Later, you might have to go for surgical removal.




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