What are the symptoms of folliculitis?

Written by Zhu Zhu
Dermatology
Updated on September 04, 2024
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Folliculitis is a common purulent inflammatory skin disease, usually caused by bacterial infection. The symptoms of folliculitis initially manifest as small red papules which, after several days or weeks, develop small pustules at the center with a surrounding erythema forming pustules. These dry out or rupture later to form yellow crusts. Generally, there are no scars left after the crust peels off.

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Written by Liu Gang
Dermatology
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Can folliculitis patients eat eggs?

Folliculitis is a disease caused by inflammation and infection within the body, which is related to the patient's long-term consumption of spicy and stimulating food, staying up late, feeling anxious or stressed, and frequent visits to public baths. Traditional Chinese Medicine (TCM) believes that this condition is associated with internal damp-heat and toxic dampness. After the onset of folliculitis, eating chicken eggs generally has no impact, as eggs primarily contain protein and cholesterol, which do not affect folliculitis. However, it is essential to avoid spicy and stimulating foods, try not to stay up late, and regularly exercise to enhance immunity. Treatment can involve oral and topical anti-inflammatory medications. If some folliculitis lesions are particularly large, they can be disinfected locally and then punctured to drain the pus. (Specific medications should be used under the guidance of a physician.)

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Written by Li Ya Ping
Dermatology Department
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How should folliculitis be treated?

Folliculitis is caused by a bacterial infection of the hair follicles. The first step in treating folliculitis is to maintain skin cleanliness. In the summer, it is important to bathe and change clothes frequently. Additionally, topical medications can be used, such as mupirocin ointment. For some cases of folliculitis that have not yet suppurated, ichthammol ointment can be applied to the swollen areas, and topical iodine can be used. For more severe cases of folliculitis, especially when boils form or multiple follicles are affected and congested, oral medications may be used. Commonly used in clinical settings are penicillins or cephalosporins if the patient is not allergic to them. Alternatively, macrolides like erythromycin, or fluoroquinolones and quinolones can be chosen. (Medication use should be under the guidance of a physician.)

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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 Li Li Jie
Obstetrics and Gynecology
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Symptoms of vulvar folliculitis

The symptoms of vulvar folliculitis generally manifest as redness, swelling, heat, and pain. When folliculitis occurs in the vulvar area, it can cause redness and swelling of the affected follicles, sometimes with a burning sensation, as well as pain in the area. If the inflammation is pronounced, the redness and swelling of the folliculitis can be severe, and pus formation may also occur. In such cases, it is necessary to puncture the pustules to drain the pus. The vulvar area has a rich supply of hair follicles and poor ventilation, making it susceptible to folliculitis. It is crucial to maintain good hygiene in the genital area.

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Written by Liu Gang
Dermatology
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Is folliculitis contagious?

Folliculitis is a type of inflammatory infectious disease that is not contagious, meaning it does not spread through contact between individuals. This condition is mainly associated with excessive sebum secretion, consumption of spicy and irritating foods, and frequent sleep deprivation leading to bacterial infections on the skin surface. Once it occurs, commonly used oral and topical anti-inflammatory medications can completely cure it. After recovery, it is important to avoid spicy and irritating foods for a long period, try not to stay up late, avoid bathing in public baths or swimming in public pools, not keep small animals at home, and possibly take some medication to reduce sebum secretion. If individual folliculitis does not subside over time, it can be disinfected with iodophor, then punctured with a needle to clean out the pus and blood.