Folliculitis is most often caused by an infection of hair follicles with Staphylococcus aureus (staph) bacteria. Folliculitis may also be caused by viruses, fungi and even an inflammation from ingrown hairs.

How do I know if folliculitis is bacterial or fungal?

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.

What does bacterial 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.

What can be mistaken for folliculitis?

The types of psoriasis that can resemble folliculitis include : Plaque psoriasis, which causes dry, red patches on the skin. The patches may be raised, itchy, and painful. Guttate psoriasis, which produces small, scaling lesions on the skin.

How do you treat fungal folliculitis?

Both topical and oral antifungals are effective agents in the treatment of Pityrosporum folliculitis (PF). Oral antifungals have the advantage of dramatic, immediate clearing of the lesions and are the most effective treatment. Patients have been successfully treated with oral pulse itraconazole and weekly fluconazole.

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

How long does fungal folliculitis last?

Since topical antifungals and washes do not penetrate well into the hair follicle, first-line treatment is generally with oral antifungals. Improvement is expected within 1–2 months.

What does Malassezia folliculitis look like?

Malassezia folliculitis presents as small, uniform, itchy papules and pustules particularly on the upper back and chest. Other sites involved can include the forehead/hair line, chin, neck, and extensor aspect of the upper limbs.

What autoimmune disease causes folliculitis?

Psoriasis is an autoimmune disease. Folliculitis is an infection caused by bacteria. Psoriasis is incurable and flares may be long-lasting. Folliculitis is curable and usually heals within a few days.

What aggravates folliculitis?

Folliculitis has many causes, including tight clothing, but tight clothes can aggravate the condition regardless of what caused it. Use loose-fitting clothing over the affected area. You should also avoid clothing that allows the skin to rub against the affected area.

Why is my folliculitis not going away?

Chronic folliculitis can be more difficult to treat. Antibiotics and other medications may not clear up chronic cases. If other treatment options fail, your doctor may recommend laser hair removal. During treatment, you should refrain from removing hair by plucking, waxing, or shaving.

Is folliculitis a fungus?

Folliculitis is a common skin condition in which hair follicles become inflamed. It's usually caused by a bacterial or fungal infection. At first it may look like small red bumps or white-headed pimples around hair follicles — the tiny pockets from which each hair grows.

How do you get rid of bacterial folliculitis?

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.

What is the fastest way to cure folliculitis?

The following approaches may help relieve discomfort, speed healing and prevent an infection from spreading:

1. Apply a warm, moist washcloth or compress. ...
2. Apply over-the-counter antibiotics. ...
3. Apply soothing lotions. ...
4. Clean the affected skin. ...
5. Protect the skin.

What will a dermatologist do for folliculitis?

Depending on the severity and type of infection, your dermatologist may recommend a variety of treatments including creams, pills, shampoos, and in some cases, minor surgery. If you think you may be suffering from folliculitis contact Avail Dermatology at 770-251-5111 to schedule an appointment.

What happens if you leave folliculitis untreated?

Boils and carbuncles

If folliculitis is left untreated, boils (or skin abscesses) can develop. As the hair follicle becomes deeply infected, the boil will come to a head and may drain. The boil may be painful and red. A large cluster of boils may also appear as many follicles become infected.

Why does my folliculitis keep 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).

What vitamin deficiency can cause folliculitis?

Severe vitamin A and C deficiency may cause folliculitis. [1] In vitamin A deficiency the skin shows follicular hyperkeratosis, dryness and generalised wrinkling. [11] It requires about 2 months of vitamin C deprivation to produce mucocutaneous signs, including perifollicular petechiae and follicular hyperkeratosis.

Can poor diet cause folliculitis?

Our results suggest that an excessive intake of dietary fatty acids predisposes the skin to development of neutrophilic folliculitis. This occurs by induction of follicular hyperkeratinization and activation of follicular keratinocytes, which may be a direct consequence of the altered amount of fatty acids in the skin.

Why does my folliculitis keep coming back?

Folliculitis usually occurs at sites where hair follicles are damaged by friction or shaving, or where there is blockage of the follicle. Excessive sweating (hyperhidrosis) due to overactivity of the sweat glands can be another cause. Sometimes, using a steroid cream on the face can trigger a bout of folliculitis.

What does eosinophilic folliculitis look like?

What does eosinophilic pustular folliculitis look like? Eosinophilic pustular folliculitis presents with itchy red or skin-coloured dome-shaped papules and pustules. It may look like acne or other forms of folliculitis. The papules mostly appear on the face, scalp, neck and trunk and may persist for weeks or months.

How do you know if you have eosinophilic folliculitis?

Eosinophilic Folliculitis Symptoms. General signs and symptoms of EF include itchy red dome-like papules and pustules. Papules and pustules might look like acne or other types of folliculitis. They commonly appear on the face, neck, scalp, and trunk and can be present for weeks or even months.

Why is my immune system attacking my skin?

On a basic level, autoimmune disease occurs because the body's natural defenses — the immune system — attack the body's own healthy tissue. Researchers have several ideas about why this happens. When the body senses danger from a virus or infection, the immune system kicks into gear and attacks it.

What kills Malassezia folliculitis?

Treating Malassezia Folliculitis

Topical drugs and ointments like econazole and clotrimazole are often prescribed for a variety of fungal infections. These drugs, applied to malassezia folliculitis, can eliminate the fungus responsible for the irritation, clearing your symptoms.

What does pityrosporum folliculitis look like?

Symptoms of Pityrosporum Folliculitis

Breakouts appear as small, red bumps appearing to rise uniformly from your hair follicles. They often appear in symmetric rows on the forehead or scattered on the cheeks. It can also develop on your upper back or upper chest.

What antibiotic treats folliculitis?

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 bacteria (impetigo of Bockhart). This is treated with oral cephalexin, dicloxacillin or similar oral antibiotic. Topical antibiotics creams or lotions can also be used.