How to treat folliculitis scabs?

Written by Liu Gang
Dermatology
Updated on September 04, 2024
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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 Zhu Zhu
Dermatology
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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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Written by Liu Gang
Dermatology
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Is folliculitis contagious?

Folliculitis is an inflammation of the skin surface caused by self-inflammation infection, primarily related to Staphylococcus aureus, and some are caused by Keratinophyton infections. Generally, this disease is not contagious and will not spread through contact with others. However, some cases of the disease can progressively develop into more severe forms, forming large abscesses or cysts. Therefore, once folliculitis occurs, it is essential to undergo proper treatment, which can include oral and topical anti-inflammatory medications. If the folliculitis is relatively minor, it can also be treated by disinfecting with iodine followed by lancing to clean out the pus and blood. It is important to consistently avoid spicy and irritating foods, refrain from staying up late, and avoid public baths and swimming pools.

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Written by Zhu Zhu
Dermatology
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What should be paid attention to for folliculitis?

Folliculitis is a common skin disease. After contracting folliculitis, it is important to avoid scratching the affected skin, and to keep the skin clean and hygienic. In terms of diet, do not eat spicy and irritating foods, such as onions, ginger, garlic, as well as tobacco and alcohol. After contracting folliculitis, it is essential to promptly use antibacterial and anti-inflammatory medications for treatment, and to keep the skin clean and dry.

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Written by He Da Wei
Dermatology
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Is chicken skin keratosis pilaris?

Chicken skin, scientifically known as keratosis pilaris, is a chronic keratinizing skin disease of the hair follicles, not folliculitis. Keratosis pilaris has a high prevalence rate, often beginning in childhood and becoming significantly worse during adolescence. The condition may be related to genetics, vitamin A deficiency, and metabolic disorders. It commonly occurs on the upper arms, near the shoulders, and on the extensor sides of the thighs. Chicken skin appears as a distinctive rough texture on the skin, with follicular papules ranging from the size of a pinhead to a grain, matching the color of the skin, and not merging. Generally, this condition does not require treatment as it primarily affects only the aesthetic appearance of the skin. However, topical treatments such as tretinoin cream and urea cream can be used, and in severe cases, oral vitamin A, vitamin E, or retinoid medications may be prescribed. (Use medications under medical supervision.)

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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.)