FOLLICULITIS

20 Jun 2019

ABSTRACT –

Folliculitis is a common skin disorder, caused by inflammation and infection in the hair follicles which can also be seen on the face, arms, upper back and lower legs. This condition is usually a bacterial or fungal infection which creates small red bumps or white-headed pimples around the hair follicles. This infection can spread and lead to non-healing, crusty sores.

Types –
  • Bacterial Folliculitis
  • Hot Tub Folliculitis
  • Razor Bumps
  • Pityrosporum Folliculitis

CAUSES –

  • Staphylococcus aureus bacteria
  • Viruses, fungi and inflammation
  • Shaving
  • Tight hair braids and clothing
  • Ingrown hair cysts
  • Sweating or use of other personal products
  • Skin – Clogged pores or conditions such as acne or dermatitis
  • Skin injury by cuts or insect bites
  • Use of infected hot tub or swimming pool
  • HIV or cancer (weakened immune system)
  • Obesity
  • Excessive use of medications which includes antibiotics or steroidal creams

SIGNS AND SYMPTOMS –

  • Small red bumps
  • White-headed pimples
  • Pus-filled and crusty blisters
  • Swollen bump or mass over the skin
  • Red and inflamed skin
  • Pain, itching, burning and tenderness on skin
  • Mild fever

COMPLICATIONS –

  • Skin damage such as scars or dark patches
  • Hair follicle damage and permanent hair loss
  • Frequent and recurrent spread of follicle infections to skin and other areas
  • Cellulitis infecting the skin
  • Boils under the skin (Furunculosis)

DIAGNOSIS –

  • Physical examination
  • Dermoscopy: Microscopic examination of the skin
  • Sample testing of infected skin or hair by swabbing
  • In rare cases, skin biopsy is done

TREATMENT –

  • Medications like antibiotic creams, oral corticosteroids or pills
  • Minor surgery
  • Laser hair removal therapy
  • Light therapy or photodynamic therapy helps to treat acne and remove bacteria, fungi, and viruses
  • Lancing helps to drain a boil and the pus

PREVENTIONS-

  • Avoid wearing tight fitting, sweaty clothes
  • Avoid insensitive, strong and harsh chemicals or personal care products
  • Avoid inappropriate shaving techniques and blunted shaving tools
  • Don’t use unclean hot tubs and pools

EPIDEMIOLOGY –

  • It can affect any population irrespective of the gender
  • The prevalence is more seen in adults than children.

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