Folliculitis is a skin infection that begins in the hair follicles. It is usually caused by a bacterial or fungal infection, but it can also be caused by viruses and even an inflammation of ingrown hairs. The infection presents itself in the form of small white spines, with white tips, around one or more hair follicles. Most cases of folliculitis are superficial, but it can itch and hurt. Normally, the inflammation of the hair heals itself, but more serious and recurrent cases deserve attention and treatment with a dermatologist, as they can lead to permanent hair loss and scarring.
Folliculitis can be superficial or deep. In the first case, it affects only the upper part of the hair follicle. The symptoms are: appearance of small red pimples, with or without pus; the skin may become red and inflamed; itching and tenderness in the region. There are rare cases of this type of folliculitis that cause complications. When the inflammation reaches deeper areas of the skin, boils may form. Symptoms are: large reddish areas; elevated lesions with yellowish pus in the middle; the affected parts are very sensitive and painful; presenting in some cases severe pain. The chances of scarring are higher in these cases, and there may be destruction of the hair follicle.
Staphylococcal folliculitis: it is the most common type. It occurs when hair follicles are infected by bacteria, most commonly by Staphylococcus aureus. It is characterized by itching, local redness and pus, which can occur in any region of the body that has hair. Although staphylococci live on the skin all the time, they can cause problems when they enter the body through a cut or other injury. This can occur due to scratches or skin lesions.
Pseudomonas folliculitis (hot tub folliculitis): Pseudomonas aeruginosa bacteria proliferate in aquatic environments in which chlorine levels and pH are not well regulated, such as hot tubs and heated pools. The infection appears between eight hours and five days after exposure to the bacteria. Itchy red rashes, and pus blisters may also appear later. Areas that stay moist for a longer time are the most prone to infection, such as those covered by bathing suits.
Beard pseudofolliculitis: inflammation of hair follicles in the beard area. The shaved hairs, when growing, bend and return to the inside of the skin. It mainly affects black men, on the face and neck. People who wax with the bikini area may develop pseudofolliculitis in the groin. This process leads to inflammation and sometimes scarring.
Ptyrosporic folliculitis: common in adolescents and adult men, it is caused by a fungus that causes pimples, reddish papules and itching. It can affect the back, anterior chest, neck, shoulders, arms and face.
The treatment of Folliculitis can be done with PsoSeptil Blend Extracts (antiseptics) which thus reduces the microbial load and PsoSeptil Cream that helps in the treatment by containing cod liver oil that provides dermal restoration and concentrate of plant extracts with bacterial action.
Often, folliculitis passes without the need for treatment. If you notice that the symptoms are not going away and that the infection is spreading, see a specialist doctor.