What does a severe case of folliculitis look like?

In most cases, the main symptom of folliculitis is red bumps that look like pimples on your skin. These could also look like they're white-filled bumps or they could be filled with pus (pustules). Folliculitis can feel itchy and uncomfortable. Many people feel the need to scratch when they have folliculitis.


How long does a severe case of folliculitis last?

The rash appears as small red bumps or pus bumps that can itch or be mildly painful. Folliculitis is common on the buttocks, arms and legs - especially the thighs. Most improve in 7 to 10 days.

When should I be concerned about folliculitis?

Folliculitis is usually minor and goes away on its own without treatment. If you have skin irritation that's accompanied by a fever, a spreading rash, or pus-filled and smelly bumps, seek medical help.


Can severe folliculitis be cured?

Management and Treatment

There isn't a cure for folliculitis decalvans. But treatments can reduce inflammation and prevent scarring and further hair loss. The condition sometimes goes into remission (no symptoms) but can return and cause a flare (active symptoms). Treatment is often an ongoing process.

How big can folliculitis bumps get?

Individual lesions of folliculitis include pus-filled bumps (pustules) centered on hair follicles. These pus-filled bumps may be pierced by an ingrown hair, can vary in size from 2–5 mm, and are often surrounded by a rim of pink to red, inflamed skin.


Folliculitis | Causes (Bacterial, Fungal, Viral), Risk Factors, Symptoms, Diagnosis, Treatment



Can folliculitis turn serious?

Mild folliculitis will likely heal without scarring in a few days with basic self-care. More-serious or repeat infections may need prescription medicine. Left untreated, severe infections can cause permanent hair loss and scarring. Certain types of folliculitis are known as hot tub rash and barber's itch.

What can be mistaken for folliculitis?

People may sometimes mistake psoriasis and folliculitis for other skin conditions, including: fungal skin infections. eczema or dermatitis. pityriasis rosea.

How do you treat deep folliculitis?

The following self-care tips may help relieve discomfort, speed healing and prevent an infection from spreading:
  1. Apply a warm, moist washcloth. ...
  2. Apply a nonprescription antibiotic. ...
  3. Apply a soothing lotion or cream. ...
  4. Clean the affected skin. ...
  5. Protect the skin.


What causes severe folliculitis?

You get folliculitis when you damage your hair follicles. Once damaged, it's easy for germs to get inside the follicles and cause an infection. A common source of infection is Staph aureus, which is found on our skin. Other organisms on our skin can also cause an infection.

What kills folliculitis bacterial?

In many cases of bacterial folliculitis, an over-the-counter (OTC) antibacterial wash, such as chlorhexidine (Hibiclens) or benzoyl peroxide, can provide relief. Avoid using Hibiclens above the neck. If you suspect yeast is causing your folliculitis, try an OTC antifungal cream.

Is folliculitis an emergency?

Folliculitis is not a serious condition, but it does require prompt attention if the area becomes infected or if the infection spreads. Seek prompt medical care if, after home treatment, symptoms recur frequently, if they persist for more than two or three days, or if the infection spreads.


Can folliculitis stay for months?

Most cases or folliculitis are mild and do not need any treatment. It often clears without any treatment within 7-10 days.

Does folliculitis require surgery?

Folliculitis Treatment

Minor folliculitis, which is very common, typically goes away on its own without treatment. Moderate or uncomfortable cases of the condition should be treated with antifungal medications. Folliculitis treatment can also include oral or topical antibiotics and antihistamines.

What is the best antibiotic for severe folliculitis?

First line treatment is indomethacin (50 mg/day). Other therapies include UVB phototherapy, minocycline, or dapsone. Pityrosporum folliculitis initially responds to topical antifungals such as ketoconazole cream or shampoo but is often associated with relapses.


Why is my folliculitis spreading?

Folliculitis from infectious agents may spread by sharing razors, towels, or through hot tubs. It can also spread from one part of the body to another if you're not careful. Some types of folliculitis may require treatment with topical or oral medication (including antibiotics or antifungals).

Does peroxide help folliculitis?

It works just as well for folliculitis. The chemical mix will immediately kill off bacteria and fungus, and the excess can be wiped off with disposable towels. You can repeat applications of hydrogen peroxide.

How do doctors test for folliculitis?

The diagnosis of folliculitis is clinical. In general, no diagnostic testing or radiographic evaluation is necessary to diagnose this condition in lieu of a thorough history and physical exam. A standard KOH preparation can be used to visualize hyphae and spores associated with folliculitis caused by Malassezia.


Can folliculitis keep spreading?

Left untreated, folliculitis will continue to spread and worsen. Our immune systems are equipped to deal with infections like these quickly, but if your immunity is overwhelmed or compromised, the infection will take over without intervention.

Does Neosporin help folliculitis?

Topical antibiotic ointments, such as Neosporin or generic neomycin, bacitracin, and polymyxin b triple antibiotic ointment, may help scalp folliculitis heal up faster. Apply the ointment to the affected area a few times daily.

What can a dermatologist do for folliculitis?

Folliculitis Treatment

More severe cases of folliculitis will need to be treated by your healthcare provider with oral antibiotics. Left untreated, boils and carbuncles may develop and will need to be drained by your doctor before they can begin to heal. Severe cases may also result in scarring and permanent hair loss.


Should I squeeze pus out of folliculitis?

Resist the temptation to squeeze or pop a folliculitis boil. While you might manage to express the pus and other infected fluid, you also run the risk of pushing those toxins more deeply into the skin, to the point that they may enter your bloodstream. Instead, let your dermatologist diagnose and treat the problem.

How do I know if my folliculitis is fungal or bacterial?

Diagnosis of folliculitis

They may take a swab of the infected skin to test for which bacteria or fungus is the cause of the folliculitis. In rare cases, a doctor may order a skin biopsy to exclude the possibility of other causes.

Does apple cider vinegar clear up folliculitis?

- Apple Cider Vinegar known as an antimicrobial agent can also be used to manage the problem. Mix 1 tablespoon of ACV with ½ a cup of water. Dip cotton balls in the mixture and apply onto the affected areas for twenty mins, repeat twice a day.


What happens if folliculitis is left untreated?

Mild folliculitis will likely heal without scarring in a few days with basic self-care. More-serious or repeat infections may need prescription medicine. Left untreated, severe infections can cause permanent hair loss and scarring. Certain types of folliculitis are known as hot tub rash and barber's itch.

Can folliculitis get into your bloodstream?

If folliculitis goes untreated it may result in serious or deep infections that may spread or cause permanent scarring, cellulitis, or even enter the bloodstream and become life-threatening.