Folliculitis in the groin. Inflammation of the hair follicle: why it happens, treatment of the disease Damage to the hair follicles

Inflammation that affects the hair follicles in the form of painful blisters filled with purulent fluid is called folliculitis. Foci can be detected in any area of ​​the body, except for the mucous membranes, palms, feet, and several areas on the face where follicles are absent by default.

Causes of folliculitis

Inflammation of the hair follicles can develop on its own, when infected with a fungal infection, under the influence of a virus, or for other reasons. But most often, pathology accompanies the underlying disease in the form of a complication. Dermatoses are the most common skin lesions that cause inflammation of the hair follicles. Often, skin problems occur with a long course diabetes or anemia.

Other situations in which a person may find single or multiple rashes of a characteristic type:

  • long stays in the heat or in a stuffy enclosed space;
  • non-compliance with basic hygiene standards;
  • constant wearing of a headgear that does not allow air to pass through, or clothes made of synthetics;
  • enhanced hyperhidrosis;
  • minor cuts, abrasions, followed by the introduction of an infectious agent.

In women, inflammation of the hair follicles is often diagnosed after long courses of contraceptives, when wearing tight, synthetic underwear, after poor-quality hair dyeing with cheap dyes or depilation.

Symptoms of the disease

There are three degrees of damage to the bulb located in the epidermis:

  • osteofolliculitis;
  • folliculitis;
  • sycosis.

In the first case, only the surface area of ​​the follicle is damaged, in the second, if treatment is not started, the inflammation goes inside the follicular cavity. The third degree, the most severe, occurs when the bulb is completely damaged.

In order to prevent the dynamic development of the disease, one should know the first symptoms of the disease and signs of deterioration during the transition of folliculosis to the next stage:

  • individual inflammation in the form of elements of a pink rash;
  • gradually the rash spreads around the initial focus, increasing in size and acquiring a specific appearance- a purulent vesicle with a hair in the center of the formation;
  • in place of the bursting bubble, a transparent-colored scab immediately appears;
  • in rare cases, high temperature indicators are noted;
  • the place of localization of the pustules itches, and when the pustules mature, it hurts;
  • there are cases of focal alopecia in areas of sycosis.

Inflammation of the hair follicles on the head in children occurs as an accompaniment of dermatitis (especially seborrhea), and also in connection with common diseases, which lead to a sharp decrease in immunity.

Foci localization

Since inflammation of the hair follicles is a transient phenomenon, the appearance of a rash is most often associated with the use of other people's hygiene items. As a rule, the scalp suffers, but the appearance of alarming signs in the groin, on the upper and lower limbs, in the armpits.

The appearance of symptoms of the disease in the pubic region and armpits is often complicated by an increase in nearby lymph nodes, and after healing of abscesses that are in the stage of deep damage, scars or ulcers remain in their place. The same period is marked by partial alopecia.

On the legs and armpits, the bulbs are damaged as a result of rough, traumatic shaving with a machine or after depilation. Folliculitis on the hands is often diagnosed in men working in unsanitary conditions (at a construction site, at a garbage disposal), or in women who use low-quality detergents (washing, cleaning) without gloves.

Medical treatment of folliculitis

Inflammation of the hair follicles is treated at home with drugs prescribed by a dermatologist. The schedule of the therapy regimen is preceded by the diagnosis and establishment of the cause of the disease.

Drugs prescribed for the treatment of folliculitis:

  • local antibacterial drugs: "Gentamicin", "Levomekol";
  • antiseptics: 3% hydrogen peroxide, Zelenka, Miramistin, Fukortsin;
  • local antifungal agents: "Nizoral", "Mycozoral";
  • antiallergic tablets: "Zodak", "Suprastin".

Regardless of the causative agent of the disease, for any degree of damage, the usual zinc ointment is successfully applied, applied in the form of applications to the affected area.

Treatment of recurrent or advanced forms

Antibiotics are prescribed if the disease is already detected at the stage of sycosis, that is, there are multiple lesions with purulent formations of varying degrees of maturation. In this case, in parallel with the main treatment, sulfonamides and drugs that increase immune defense are prescribed.

When self applied local funds on areas with ripe or opened pustules, you should not press on the affected area or try to open the formations yourself. This action is carried out only under sterile conditions in the treatment room.

Physiotherapy

Hardware folliculitis therapy is provided to the patient as part of additional services and is one of the most effective methods treatment of inflammation of the hair follicles. From the point of view of safety and speed of a positive effect, exposure to ultraviolet radiation to a depth of up to 10 mm of the affected area has proven itself best.

The duration of the course is negotiated on an individual basis, but does not exceed ten procedures. The frequency of exposures is also regulated only by the severity of the patient's condition and his susceptibility to treatment.

Folk methods

Folk health remedies cannot replace the main therapy, but they are successfully used as a concomitant treatment of folliculitis due to the high concentration of tannins, astringents, natural antiseptics and stabilizers of regenerative processes in many herbal preparations. Doctors support additional treatment folk methods using the following active components, which are part of decoctions and tinctures:

  • common dandelion;
  • burdock roots (burdock);
  • chamomile;
  • nettles;
  • onion;
  • cranberries.

All of the above herbal ingredients are prepared in a weak degree of concentration - for oral administration - and in a highly concentrated form - for external use.

Prognosis and complications

If the disease is not stopped in the first two weeks after the onset of the first symptoms, or the means used by the patient do not correspond to the goal of treatment, complications such as:

  • dermatophytosis;
  • lymphadenitis;
  • carbuncle;
  • abscess.

The prognosis of recovery in the development of complications depends on the direction that the disease has taken, and can mean a severe outcome, even death. Children under one year of age are at particular risk, therefore, treatment of this category of patients occurs only in stationary conditions.

Prevention of folliculitis

You can prevent skin pathology by simply adhering to basic hygiene standards and completely curing all diseases associated with the penetration of infections and viruses. If a person with folliculosis is surrounded by relatives or colleagues, you should wash your hands more often and treat your hands with antiseptics and be sure to contact a dermatologist at the first suspicion of the disease.

Inflammation of the hair follicle is a disease that is hard to miss. Folliculitis is an inflammation of the hair follicle with the formation of a purulent capsule, which gradually grows and increases in size. With untimely treatment, the disease affects neighboring hair follicles.

The hair follicle is the root of the hair, which has a high regenerative capacity. There can be several reasons for the occurrence of inflammatory processes in the follicle.

These are processes that are caused by the penetration deep into the follicle of pathogenic bacteria, fungi and other pathogens. Among the pathogens, staphylococcus bacteria, herpes virus, ticks can be distinguished.

Poor hygiene

Frequent shaving of facial, underarm, or pubic hair. Shaving in the opposite direction of hair growth tends to increase the appearance of ingrown hairs. These hairs become inflamed and provoke the development of folliculitis.


Wearing tight and synthetic underwear. Tight underwear also makes it difficult for normal hair growth, causing them to grow. Synthetics, in turn, irritate and negatively affect the skin.

Pathologies and damage to the skin:

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  • Injuries (scratches, bruises, abrasions).
  • Allergic reactions.
  • Abuse of corticosteroids.
  • Decreased immunity.
  • Diabetes.

External exposure to chemically aggressive substances (acids, alkalis, oils, gasoline, kerosene, etc.).

Infectious diseases

HIV

From the above list it follows that the slightest scratch on the face, head or in the groin area can provoke the disease. It is very important to identify the first symptoms of the onset of the disease.

Symptoms of the disease

In most cases, the disease is manifested by local reddening of the skin. Further, a vesicle with pus forms in the region of the hair follicle. After a certain period of time, the bubble opens, and a small sore appears in its place. The ulcer is covered with a crust, pigmented and scarred. The entire cycle of maturation and scarring of the abscess takes 6-7 days.


Inflammation of hair follicles is usually observed in the face, on the head, in the groin, in the armpits. It happens that purulent inflammation in women can be observed in the thighs and lower legs. Inflammatory processes are accompanied painful sensations, itching and red spots on the skin.

In advanced stages, the disease turns into furunculosis with acute purulent inflammation of the tissues. If inflammatory processes occur in the groin, then it is difficult to get rid of them. Treatment is complicated by the constant friction of tissues when walking.

Medicine distinguishes the following types of folliculitis:

  • staphylococcal folliculitis (observed on the head, in the face, in the groin);
  • syphilitic folliculitis (accompanied by hair loss in the groin, head, beard and mustache);
  • candidal folliculitis (occurs with prolonged bandaging);
  • pseudomonas folliculitis (appears after antibiotic therapy and taking a hot bath with chlorinated water);
  • dermatophytic folliculitis (affects the hair follicle and the hair shaft itself);
  • herpetic folliculitis (the skin becomes inflamed on the chin and in the region of the nasolabial triangle);
  • superficial pyoderma (occurs with the formation of pustules).

If the first symptoms of the disease are detected, you should immediately contact a specialist who will prescribe the appropriate treatment.

Inflammation of the hair follicle - the fight against the disease

Treatment of the disease is prescribed by the attending physician after a complete examination and delivery of all necessary analyzes. Therapy should be aimed at suppressing the infection that provoked the inflammatory process.


For bacterial infection, antibiotic therapy. Treatment is carried out using antibiotic ointments. The ointment is applied to the affected areas of the skin in the armpits, on the face, head, in the groin. With staphylococcal infection, Erythromycin, Dicloxacillin, Cefalexin are prescribed.

Treatment of fungal foci is performed using antifungal drugs (Terbizil, Clotrimazole, Exoderil). The drug Acyclovir is used to combat herpetic folliculitis.

Local treatment is effective for early stages diseases. To prevent further spread of infection, the skin is treated with Fukortsin, brilliant green, salicylic, boric or camphor alcohol.

With the manifestation of candidal folliculitis, treatment with Itraconazole is performed.

Dermatophyte inflammation is removed with Terbinafine. Additionally, immunomodulators, physiotherapy and ultraviolet irradiation are used.

Inflammation of the follicles does not pose a critical threat. However, in more advanced stages, it threatens with serious pathologies and complications.

Folliculitis is a type of superficial pyoderma. Skin disease is the result of a purulent-inflammatory process occurring in the hair follicle.

Purulent vesicles surround the sebaceous gland and the hair shaft. The greatest danger is the deep form of pathology. The inflammatory process is caused pathogenic microorganisms. Certain types of folliculitis appear against the background of infectious diseases.

Causes

There are more than a dozen varieties of folliculitis. Most types of skin disease develop after the penetration of dangerous pathogens into the body:

  • mushrooms;
  • bacteria;
  • ticks;
  • viruses.

The provocative factors are divided into two groups:

  • internal (endogenous);
  • external (exogenous).

Often there is a combination of background diseases and exposure to external factors. Some causes are easy to eliminate, others are much more difficult to get rid of.

Most often, pathology develops under the influence of external factors:

  • with contamination of the skin;
  • in adverse climatic conditions;
  • with microtrauma of the skin;
  • due to hypothermia of the body;
  • when wearing tight clothes made of synthetic fabrics for a long time.

Internal factors that provoke inflammation of the upper sections of the hair follicles:

  • local glucocorticosteroid ointments, especially under the bandage;
  • unbalanced diet;
  • diabetes;
  • liver damage;
  • anemia;
  • long-term use of immunosuppressants.

Chronic pathologies weaken the immune system, provoke the development of skin diseases. Folliculitis can be caused by:

  • gingivitis;
  • the presence of carious cavities in the teeth;
  • periodontal disease;
  • obesity;
  • chronic pharyngitis and tonsillitis.

Symptoms and varieties

The main signs are characteristic of all types of the disease:

  • after infection, an inflammatory process develops;
  • the skin in the area of ​​​​the hair follicles turns red, pustules appear around the hair;
  • without treatment, inflammation intensifies, an infiltrate forms at the site of the lesion;
  • pus collects in the pustule;
  • the inflamed area rises above the skin, acquires a spherical or conical shape;
  • sizes of formations - from 2 mm with superficial folliculitis to 8–10 mm with a deep type of pathology;
  • after opening the abscess, redness persists.

Note! Depending on the body's ability to resist infections, one or two abscesses or hundreds of inflamed follicles appear on the body. Multiple formations often itch. With a large area of ​​​​damage, nearby lymph nodes become inflamed.

Types of folliculitis:

  • Candidiasis. The main reason is the treatment of skin diseases with corticosteroids, the imposition of occlusive dressings. Risk group - bedridden patients.
  • Acne syphilis. Skin lesions are a consequence of syphilis. Hair follicles have a soft red color. It is impossible to get rid of acne syphilide without curing the underlying disease.
  • Staphylococcal. A variety occurs in sloppy shaving men. Ulcers occur in the area of ​​​​hard bristly hair - on the chin, in the nasolabial triangle. With advanced forms of pathology, scar tissue forms in place of dead follicles.
  • Pathology caused by dermatophytes. The epidermis becomes inflamed, later the infection penetrates deep into the follicles. Without treatment, the hair shafts are affected. Most patients develop a severe lesion - scalp folliculitis.
  • Hot bath folliculitis. The disease develops when the body is infected with staphylococci and other pathogens. In most cases, infection occurs after taking a bath with poorly chlorinated water, in which pathogenic microflora is present.
  • Professional. The reason is long-term exposure to dangerous chemicals on the skin. Localization - the back of the hands, the extensor surface of the forearms.
  • Kleschev. A dangerous species is difficult to treat. Specific therapy is required for the epidemiological danger of the tick.
  • Gonorrheal. Quite a rare sight. The reason is untreated gonorrhea. Analyzes of the contents of abscesses show a large number of gonococci. Inflamed follicles in the perineum in women, on the foreskin in men.
  • Pathology caused by fungi, thrive in conditions of high humidity and temperature. Multiple itchy pustules and papules are located on the back, face, neck, shoulders.
  • Gram negative. It develops in weakened people. The penetration of the infection leads to new rashes on the skin, abscesses form. The main reason for the weakening of immunity in this category of patients is the use of antibiotics in the treatment of acne on the face, back, and chest.
  • Depilatory folliculitis. The patients are middle-aged men living in tropical countries. Symmetrical rashes appear on the skin of the legs. After treatment, scars are visible on the lower extremities in places of inflammation.
  • Eosinophilic. Pathology develops in HIV-infected patients. Places of localization - torso, head, limbs. Papular rash is one of the markers of HIV infection. Analyzes reveal high levels of blood eosinophilia.
  • Impetigo Bockhart. The disease develops with increased sweating of the skin, prolonged use of warming compresses. Superficial pustules appear in the affected areas. The size of the formations is from 2 to 5 mm.

Folliculitis treatment

The dermatologist examines the rashes, prescribes additional studies. Despite the characteristic rash, it is important to exclude diseases that have similar symptoms.

After collecting data on the course of the disease, identifying the causes and provoking factors, the patient undergoes mandatory tests:

  • bakposev contents of pustules;
  • blood "for sugar" to exclude or confirm diabetes mellitus;
  • microscopic analysis of a smear according to Gram;
  • in some cases, a skin biopsy is required.

Complex therapy will reduce the risk of infection of new areas of the skin, reduce inflammation, and help speedy opening and healing of abscesses. Do not take medications used by your relatives, friends, colleagues without the recommendations of a dermatologist.

For the treatment of various forms of folliculitis use:

  • medications;
  • physiotherapy procedures;
  • folk remedies.

Medications

How to treat folliculitis? Effective drugs cope even with severe forms of the disease. The initial stage is successfully treated with simple, inexpensive medicines.

  • treat abscesses with fucorcin, brilliant green;
    wipe the skin with salicylic, camphor alcohol 1-2%. It is forbidden to use high concentration formulations;
  • with multiple rashes, a large accumulation of pus, it is recommended to open the papules, complete removal of the thick liquid. The procedure is performed by a doctor;
  • compresses with ichthyol ointment will help relieve inflammation, accelerate the healing of open cavities. Apply gauze lubricated with ichthyol 2 times a day;
  • in severe cases, the doctor will select antibiotics, sulfonamides for a particular patient. Bakposev will indicate suitable drugs for the identified type of pathogen;
  • the neglected form requires the appointment of immunomodulators that restore the functions of the immune system. Vitaferon, Immunal, Timalin are effective.

Special cases:

  • with herpetic folliculitis, the inflamed areas are lubricated with Acyclovir;
  • with fungal types of pathology, Terbinafine, Fluconazole, Itraconazole, antifungal ointments are used;
  • in the treatment of the staphylococcal form, Mupirocin ointment helps in combination with the intake of Methicillin, Cefalexin, Erythromycin.

Read all the information about a pimple on the lip at the address.

Folk methods and recipes

With inflammation of the hair follicles, profuse rashes, home remedies improve the patient's condition. Decoctions, infusions, compresses, applications are indispensable for all forms of pathology.

Proven methods and recipes:

  • Decoction of chamomile- a valuable remedy for inflammation. Per liter of water - 1 tbsp. l. colors. Steam, let it brew for 30 minutes, strain. Do this in the morning, afternoon and before bed.
  • Compresses, soothing dressings with prickly. Boil 50 g of root in 0.5 liters of water for half an hour. Strain after an hour. Use the decoction daily.
  • The tartar is prickly. Great for reducing inflammation. Grind the leaves, rub, put the gruel on the rashes. Hold 30 minutes.
  • Effective applications. Prepare a decoction: pour 2 tbsp. water 200 g of rose hips, the same amount of viburnum, add 100 g of nettle, 10 g of green walnut shells. Simmer on fire for 10 minutes. The decoction is infused for a day. Mix 50 g of fresh cottage cheese and honey. Dilute the curd-honey mixture with a decoction, make applications 3 times a day for 15-20 minutes.
  • Bandages with fragrant woodruff. Cover the abscesses with gruel from fresh leaves. Carry out the procedure 2 times a day.
  • Burdock decoction. Pour a spoonful of chopped root with 0.5 liters of water. Boil for 10 minutes, let it brew for an hour, strain. Take a healing decoction twice a day before meals.
  • Dandelion infusion. Rinse the roots, leaves, chop, 2 tbsp. l. raw materials pour 1 tbsp. boiling water, boil for 10-15 minutes. Strain the decoction that has been infused for half an hour. Drink a quarter cup 3 times a day.

Complications of the disease

The disease occurs in both mild and severe forms. Complications with some types of folliculitis are very serious.

Causes of complications:

  • weak immune system;
  • improper treatment;
  • poor hygiene;
  • untimely visit to the doctor;
  • hot climate with high humidity.

Types of complications:

  • dermatophytosis;
  • abscess;
  • carbuncle;
  • follicular scars;
  • lymphadenitis.

Some patients develop damage to the kidneys, brain, pneumonia. Patients with a severe course of the inflammatory process should be under constant medical supervision.

Forecast and prevention

Timely therapy minimizes complications. Most types of folliculitis have a favorable prognosis.

The crusts at the site of the opened pustules fall off after a while, the infiltrates gradually resolve. Many patients have pigmented areas, after a severe course of the disease - scars. After a while, the skin acquires a uniform shade, cosmetic defects are hardly noticeable.

Prevention measures:

  • proper care of the skin of the face and body;
  • control of the condition of the skin in bedridden patients;
  • regular washing of the head, the correct selection of shampoo;
  • strengthening the immune system;
  • treatment of chronic diseases;
  • after shaving skin treatment with special lotions;
  • limiting contact with chemicals;
  • intelligibility in the choice of sexual partners.

Study the symptoms of folliculitis, familiarize yourself with the types of dermatological diseases, methods of treatment and prevention. Do not refuse the help of a dermatologist: self-medication complicates the course of the disease.

Do not confuse a boil with ostiofolliculitis. Here we will talk about the second case. Ostiofolliculitis is an inflammation of the hair follicle, a fairly mild disease of a bacterial nature. Ostiofolliculitis can turn into a furuncle, or it can disappear at the first stage, as well as a furuncle can develop without osteofolliculitis.

So, we are talking about a common problem that is of interest to the masses of people. The title does not lie: who has not experienced inflammation of the hair follicles? Perhaps no one.

Reasons for the appearance

reasons for the development of local inflammation of the skin (hair follicles) several:

  1. Frequent shaving against hair growth. No wonder shaving hair is always recommended for hair growth, in extreme cases - across. This is especially true for hair that is on the legs in the groin, that is, in places that are shaved most often (here we are talking mainly about women, otherwise we would not talk about the problems of hair growth on the legs!). If you shave improperly, “ingrown hairs” will definitely appear, which then become inflamed.
  2. Wearing tight underwear especially if the fabric is synthetic. The reason for the development of folliculitis when wearing tight underwear intersects with the previous paragraph. Tissue that is tightly attached to the skin makes it difficult for hair to grow, causing ingrown hair, and, accordingly, inflammation. The role of synthetics is also important here: this material irritates the skin very easily, making it more sensitive to various infections.
  3. Skin injury, especially chronic, constantly recurring.
  4. decreased immunity, which can occur against the background of infectious immunodeficiencies, taking certain drugs and malnutrition. This condition is a risk factor for all purulent skin diseases.

Symptoms: how does inflammation of the hair follicles manifest itself?

The very first symptom you may notice is redness around the hair or follicle and compaction in this area. Usually in this period there are no painful sensations, but the development of folliculitis may be accompanied by slight itching.

At the site of redness is formed nodule-infiltrate, which is slightly painful to touch. It all depends on the extent of the lesion: small ulcers do not change the local temperature of the skin, while large ones increase the temperature near the lesion. If the lesion is multiple, fever may occur.

The next stage is formation of a purulent core. In fact, this is the last period of the disease: after it, either recovery occurs, or folliculitis turns into a boil.

Inflammation of the follicles on the legs rarely causes serious discomfort. If folliculitis occurs in the groin, it is much more difficult to endure: the site of inflammation is constantly subjected to friction, which only aggravates the process.

How is hair follicle inflammation treated?

As always, it all depends on the degree of damage and the body's ability to resist infection.

Mild forms of inflammation do not need any special treatment.: it is enough to periodically wash the foci of inflammation with antiseptic solutions (for example, salicylic or camphor alcohol is perfect), use antibacterial soap and ointments.

Never squeeze pustules on the skin! The consequences of this seemingly innocent action can be very, very dangerous. Sanitary education work in this respect works well: almost everyone knows that squeezing "pimples" on the face is, in the truest sense of the word, deadly (it is fraught with pus entering the vessels of the brain). This applies to any pustules! Yes, this, of course, will not be fatal, but the consequences can be very unpleasant.

Areas affected by inflammation cannot be washed with plain water, this can only be done with the help of weak antiseptic solutions. Give up "chemical" gels and balms, stop wearing tight underwear (at least for the duration of the illness!) And perhaps this will be enough for recovery.

If you missed the moment of the onset of the disease or hoped for its independent cure, then it becomes necessary to use completely different methods of treatment. The simplest thing that can be assigned to you is oral antibiotics. Such treatment can turn out to be more than dangerous ... Decide for yourself what is better: go to the doctor immediately, or be treated later with “heavy”, harmful drugs.

You say: what is it in one small pimple? But such "pimples" quite often cause hospitalization in a hospital. No, of course, you will not be sent to surgery because of an unsuccessful shaving of the legs or groin area. But if you "start" the disease, let it spread... Then anything can happen.

Let's formulate the conclusion like this: the most important moment in the treatment of inflammation of the hair follicle is a visit to the doctor. Suddenly? Alas, it is so.

In children and adults, inflammation of the hair follicle is common. Therefore, they want to know why this happens, when it is possible to self-treat, and when it is necessary to see a doctor.

Folliculitis - an infectious inflammation of the follicle, appears in the places of hair growth on the legs, back and other parts of the body. It always gives inflammatory purulent processes, and can affect the follicle both superficially and deeply, forming a core.

Inflammation of the hair follicles can appear for various reasons, but most often it appears when personal hygiene is not observed. The infection can penetrate the follicle with the smallest, minor skin injuries, namely:

Improperly applied compress, diaper rash in the folds of the skin, taking medications that reduce the protective functions of the body, follicles can become inflamed.

Causes of inflammation

  • contamination of the skin;
  • microtrauma with infection;
  • tight synthetic clothing and scuffs;
  • increased sweating;
  • incorrect application of a compress;
  • climatic conditions and hypothermia.

All of these causes can cause a severe form of the disease that deeply affects the skin. Sometimes internal factors are added to them, such as:

  • anemia;
  • diabetes;
  • unbalanced diet;
  • immunodeficiency and HIV infection;
  • long-term use of immunosuppressants.

Any diseases, including chronic ones, always depress immune system causing folliculitis. It is important to follow the rules of hygiene, eat right and monitor your health.

Symptoms of folliculitis

After infection, inflammation occurs, causing redness and infiltration in the follicle area, pain and itching appear. The size of the boil can reach from 2 to 10 mm and directly depends on the depth of the lesion. It is impossible to squeeze out such a boil on your own due to the rapid spread of the infection.

If the disease is superficial, a bag of pus collects around the hair, which dries quickly without causing pain. If the boil is large with a deep shaft, many painful nodules form on it with a center in the follicle and an abscess in the upper part around the hair. It can reach up to 100 mm in size, such ripen slowly.

After a week or two, the pus breaks out, forming a yellowish crust on the skin. A severe form of folliculitis leaves a scar or pigmentation, a mild one does not.

Multiple inflammation of the hair follicles often affects men, and is provoked by the profession, appearing in certain areas of skin contamination. And it is also caused by irritations, various scuffs, or after shaving.

Types of folliculitis

There are several of them, namely:

  • staphylococcal folliculitis;
  • pseudomonadic;
  • syphilitic;
  • gonorrheal;
  • candidal;
  • dermatophytosis;
  • herpetic;
  • Bockhart impetigo.

Staphylococcal folliculitis often affects the hair follicles of bristly hair - the chin, cheekbones, above the lips. "Sycosis" (a deep skin lesion in men) appears when the infection enters during shaving. Often the disease progresses to chronic form, become aggravated, becomes resistant to drugs. "Sycosis" is usually plural. In addition to the face, it can also occur on other parts of the body.

Pseudomonas folliculitis is an acute skin infection that develops 5 hours after exposure to contaminated water. It can affect patients who are currently undergoing antibiotic treatment for acne. After bathing, the rash on the face and trunk intensifies. Several urticarial red foci appear, they itch, sometimes give a temperature. This form of the disease often affects teenagers because children like to stay in the water for a long time.

Syphilitic is caused by a relapse of the disease, which is accompanied by non-scarring alopecia in the chin, mouth, and head.

Gonorrheal - appears from the advanced form of gonorrhea. It is localized on the foreskin in men, as well as on the skin of the perineum in women.

Candidiasis appears after tight bandages, usually in bedridden patients with fever.

Dermatophytosis is a lesion of the upper layer of the skin, and over time, inflammation is introduced into the hair shaft. The background for its appearance is often ringworm, as well as scab.

Herpetic affects the follicles of bristly hair in men. It is characterized by the formation of bubbles.

Bockhart's impetigo affects softened skin, causing inflammation of the hair follicle in the groin with excessive sweating, or after warm compresses.

Diagnostics

The purpose of diagnosis is to determine the pathogen that caused the inflammation, as well as to identify concomitant diseases that can provoke folliculitis. Be sure to exclude them, especially giving similar symptoms. The more accurate the diagnosis, the better the treatment.

The doctor examines the focus of inflammation, makes dermatoscopy, which will make it possible to find out the depth of the lesion. For microscopy, the contents of the pustules are taken, bakposev is carried out, the presence of fungi and pale treponema is determined. The diagnosis of the polymerase chain reaction (PCR) is definitely needed, this will completely exclude gonorrhea and syphilis.

Folliculitis treatment

Complex therapy will reduce inflammation, eliminate the spread of infection, accelerate maturation and rapid healing. Treatment includes:

  • local therapy;
  • antiseptics;
  • antibiotics;
  • antifungal drugs;
  • Acyclovir;
  • immunomodulators.

For treatment initial stage diseases apply local therapy with the simplest medicines. If the boils are solitary, it is enough to wipe the affected areas with camphor or salicylic alcohol, you can also use brilliant green.

When the rashes are multiple, and the accumulation of pus is large, the doctor performs an autopsy of the papules. After this procedure, apply twice a day ichthyol ointment, to relieve the inflammatory process.

For the treatment of severe forms, the doctor, individually for each patient, will select antibiotics based on the pathogen identified with the help of bakposev. To restore the protective functions of the body, immunomodulators are prescribed.

Ointment Acyclovir helps with herpetic folliculitis. If the disease is caused by fungi, antifungal drugs (Fluconazole, Terbinafil) and ointments are used. In all severe cases of the disease, the doctor prescribes antibiotics, which are used along with local treatment. With any kind of folliculitis must be fought until it disappears completely.