Folliculitis
is the infection of hair follicles. This can occur anywhere on the
skin or scalp. Usually there is some itch, sometimes a little
soreness. Folliculitis looks like acne pimples or non-healing, crusty
sores.
An acute eruption or one present for only a short time is usually
due to Staph germs (impetigo of Bockhart). This is treated with oral
Keflex, Dicloxacillin or similar oral antibiotic for 10 days. Topical
antibiotics creams or lotions can also be used. Bactroban ointment
should be applied into the front of the nose for several days to
prevent a carrier state. While this may seem like it makes no sense,
the inside front area of the nostrils is often a place where bacteria
can survive a course of oral antibiotics. Later, they spread back to
the skin to cause a relapse.
Chronic or recurring folliculitis is less likely to clear with just
antibiotics. Often this is on the legs of women, but it can occur in
any areas of shaving, waxing, sugaring, EpiLady,
hair plucking or friction. These need to be stopped for at least 3 months to allow
the hair to grow in healthy. If shaving is resumed, you should shave
with the grain of the hair; it won't FEEL quite as smooth, but it will
LOOK a whole lot better.
A pill such as tetracycline or
minocycline can be given for 4 to 6 weeks. Unless the skin is
sensitive, drying, antiseptic lotions should be used on the affected
areas such as Xerac-AC (aluminum chlorhydrate solution), Cleocin-T
solution or Benzamycin gel. In some cases, the infection with unusual
bacteria may be picked up from a dirty hot tub or scrubbing brush.
For those with sensitive skin, friction and rubbing must be
avoided. Avoid Lycra workout clothes, and tight fitting rough fabrics
like blue jeans in the affected area. Apply a non-greasy moisturizer
such as Lac-hydrin cream (Ammonium lactate 12%) plus mild prescription
cortisone cream to the area if there is an associated atopic
dermatitis (eczema).
Resistant and recurrent cases, especially on
the legs may clear with hair removal laser treatments. This is still
somewhat experimental.