What department should I go to for folliculitis?

Written by Liu Gang
Dermatology
Updated on September 10, 2024
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Folliculitis is an inflammation of the skin's surface, and this condition falls under the purview of dermatology, which can be treated at a regular hospital's dermatology department. This disease is related to excessive sebum secretion, consumption of spicy and irritating food, or frequent late nights. Prompt treatment is necessary once symptoms appear, and it can involve oral and topical anti-inflammatory medications. It is advisable to avoid spicy and irritating foods and try not to stay up late as this disease has a particularly high recurrence rate. If the folliculitis is relatively large, you can visit the dermatology department of a regular hospital for a minor surgery to drain pus. If it is small, local disinfection followed by using a needle to puncture and clean out the pus and blood may suffice.

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What are the symptoms of folliculitis?

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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What should I do about folliculitis?

Folliculitis refers to an inflammatory change in the skin appendages, which is quite common and can occur on the scalp as well as in areas of abundant sebum secretion such as the face, chest, and back. It is more prevalent in males, with symptoms generally more severe than in females. A low-fat diet is advised, avoiding spicy foods, and consuming more green vegetables and coarse fibers to regulate lipid metabolism, in addition to anti-inflammatory and other symptomatic treatments. Oral medications such as ebastine tablets, compound glycyrrhizin tablets, and vitamin B6 tablets can be used in combination with systemic antibiotics like clarithromycin extended-release tablets and doxycycline hydrochloride capsules. Traditional Chinese medicines like tanshinone can also be utilized, along with topical applications such as clindamycin phosphate gel and fusidic acid cream. (Please follow medical advice when using medications.)

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Dermatology
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Does folliculitis hurt?

Folliculitis is usually associated with excessive sebum secretion by one's own glands, consumption of spicy and irritating foods, or frequent staying up late, leading to inflammatory hyperplasia on the skin surface. Generally, these are relatively small and the symptoms are mild. There is a feeling of pain when pressed by hand. However, some cases of folliculitis are severe and may resemble large abscesses, especially on the scalp where the pain can be more intense, particularly when touching or squeezing with hands. Once folliculitis occurs, it is best to treat it with oral and topical anti-inflammatory drugs. It is important to avoid spicy and irritating foods and not to stay up late. If an individual follicle becomes significantly enlarged, it is advisable to seek surgical excision and drainage at a dermatology department of a formal hospital.

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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.

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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.