What is vulvar folliculitis?

Written by Li Lin
Obstetrics and Gynecology
Updated on September 16, 2024
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All parts of the body have hair follicles, and inflammation of these follicles is called folliculitis. When folliculitis occurs in the pubic area, it is referred to as vulvar folliculitis. During mild cases of vulvar folliculitis, topical erythromycin ointment can be used, and keeping the vulvar area dry and clean generally results in improvement and healing. However, if the folliculitis is severe and topical medications are insufficient, oral antibiotics may be required for treatment. If a follicular abscess develops, surgical incision and drainage may be necessary.

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Written by Zhu Zhu
Dermatology
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What causes folliculitis?

Folliculitis is a very common skin condition that most people have experienced. It is primarily caused by the infection of the hair follicles and the surrounding areas by bacteria, predominantly Staphylococcus aureus and Streptococcus. The scalp, due to its developed sebaceous glands and abundant hair, secretes a lot of oil and is particularly prone to bacterial growth, making it a common site for folliculitis. It is crucial to treat folliculitis with timely anti-infection measures.

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Written by Liu Gang
Dermatology
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How to treat folliculitis scabs?

When scabbing occurs in folliculitis, it generally indicates that the follicle has almost completely healed, and no special treatment is necessary. However, some cases of folliculitis, especially severe ones, may still have underlying inflammation despite the surface being covered with a scab. In such cases, you can disinfect with iodine and then remove the scab to further clean out any pus or blood underneath. Generally speaking, folliculitis is relatively easy to treat with oral and topical anti-inflammatory medications. In severe cases, lancing or surgically opening the follicle to drain pus might be necessary. After recovery, it is important to regulate one's diet and lifestyle habits, avoid spicy and irritating foods, and not stay up late.

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Written by Liu Gang
Dermatology
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Can you drink alcohol with folliculitis?

Folliculitis generally requires abstaining from alcohol, as well as spicy foods like chili peppers, lamb, and seafood. These should be avoided as much as possible because folliculitis is related to consuming spicy and irritating foods, frequently staying up late, and similar habits. Therefore, during the treatment or recovery phase, it is advisable to strictly avoid these, as well as avoiding staying up late, stress, and anxiety. It is also recommended to avoid public baths and swimming pools. Folliculitis is commonly treated with some oral and topical anti-inflammatory medications which can completely cure it. If individual lesions are particularly prominent or painful, local disinfection can be performed, and the pus and blood can be drained by piercing with a needle. For larger, more stubborn folliculitis that does not subside over time, surgical removal may be recommended.

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Written by Liu Gang
Dermatology
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Does folliculitis require surgery?

Folliculitis generally does not require surgery, and can be completely cured by commonly used oral and topical anti-inflammatory drugs. If individual folliculitis is particularly prominent and has some pustules, you can disinfect the area locally, then use a needle to break them open and clean out the pus and blood. Unless the folliculitis is large, especially those on the scalp, and chronic medication is ineffective and gradually worsening, surgery might be required. You can go to the dermatology department of a regular hospital for surgery to completely clean out the pus and blood. To prevent recurrence of this disease, avoid spicy and irritating foods, do not stay up late, strengthen exercise, sweat more, and bathe more frequently.

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Written by Guan Jing Tao
Orthopedics
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How to treat folliculitis in the buttocks area?

Folliculitis in the buttocks should first avoid continued exposure to damp environments, keeping the area dry, and applying topical medications such as Rifan and potassium permanganate solution. Apply these topically twice a day, in the morning and evening, along with oral anti-inflammatory and antibacterial medication. Topical application of traditional Chinese medicine plasters, such as those promoting tissue regrowth and pus discharge, can also be used to break open and heal the pus-filled abscesses formed after folliculitis. Alternatively, using Western medicine approaches, after the acute inflammation and redness subside and significant abscesses form, incision and drainage can be performed. Both of these methods are viable, but avoid incisions and surgical treatments during the acute phase.