How is folliculitis treated?

Written by Qu Jing
Dermatology
Updated on May 12, 2025
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Folliculitis is a bacterial infection of the hair follicles and surrounding tissues. Most cases of folliculitis are caused by Staphylococcus aureus, with occasional infections from epidermal staphylococci, Streptococci, E. coli, and others either alone or in combination. Another scenario involves fungal folliculitis secondary to bacterial infection, typically involving Malassezia, spores, and Dermatophytes. Contributing factors include high temperatures, excessive sweating, scratching, poor hygiene habits, certain chronic systemic diseases, and long-term use of corticosteroids. Therefore, the treatment of folliculitis requires understanding the specific cause of the infection, followed by targeted treatment of the cause. Initial measures should focus on maintaining skin cleanliness and hygiene, preventing injuries, and boosting the body's immune system, primarily using topical medications. For widespread folliculitis or severe secondary infections, systemic medication may be required. If there is a concurrent fungal infection, antifungal medications are also necessary. In severe cases of folliculitis, where there is abscess formation and pus accumulation, timely incision and drainage are needed, and one should avoid squeezing the affected areas.

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Written by Liu Gang
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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Written by Liu Gang
Dermatology
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What department should I go to for folliculitis?

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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Written by Xia Min
Traditional Chinese Medicine
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What should not be eaten with folliculitis due to lung heat?

In clinical practice, dietary restrictions for folliculitis due to lung heat typically include avoiding or reducing the intake of spicy, greasy, and cold foods. The so-called spicy foods refer to hot pots, barbecues, and dry pots, especially those containing cumin, chili, and Sichuan pepper. These aromatic and spicy foods should not be consumed. What are cold foods? Examples include ice cream and popsicles, as these can transform dampness into heat, thus such cold foods should also be avoided. Greasy foods include rich oil-based soups or broths, which are also not suitable for consumption during folliculitis.

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Written by Li Lin
Obstetrics and Gynecology
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What is vulvar folliculitis?

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 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. If the folliculitis is severe and there is obvious surrounding swelling, it is known as a furuncle or boil. When multiple furuncles involve several hair follicles, it forms a carbuncle. Thus, the infection severity differs between folliculitis, furuncles, and carbuncles. How is folliculitis treated? First, it is important to maintain clean and hygienic skin and to enhance the body's immune system. Treatment primarily involves topical medications. In the early stages before abscess formation, mupirocin ointment can be used. If there is significant surrounding swelling, ichthammol ointment or topical iodine complex can be used. For more severe cases of folliculitis, oral antibiotics may be selected based on the condition, including penicillins such as cephalosporins, or erythromycin and other macrolide antibiotics, but it is important to ensure there is no allergy to these antibiotics before use.