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You can get it if you cut yourself and bacteria (usually staph) gets in. A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. Scalp folliculitis can be uncomfortable and painful.
Bacterial
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Dissecting cellulitis of the scalp, or Hoffman disease, is where large nodules appear on the scalp. This condition is not due to a bacterial or fungal infection, but secondary infections can develop if a person does not treat these. In many cases, you can work to prevent folliculitis or manage it by changing your lifestyle habits. Folliculitis infections usually involve bacteria and yeast entering your hair follicles. By changing some parts of your normal self-care routine, you can limit the amount of infectious material in your hair follicles. Both can cause clogged hair follicles and make them worse.
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Eat a balanced diet, get enough sleep, exercise, and avoid stress to help prevent flare-ups. Folliculitis due to ingrown hairs usually improves when a person stops shaving for up to 1 week. If you aren’t noticing any improvement after a few days, or things seem to be getting worse, make an appointment to see a doctor. You may need a prescription antifungal cream or oral antibiotic, especially if you have a weakened immune system or have recurring folliculitis.
What causes scalp folliculitis?
For example, it might help to apply a warm, moist washcloth to the affected skin, followed by an anti-itch cream. You don’t get HS because you’re dirty or because you have an infection. But your doctor might suggest an antiseptic or antibacterial wash to ease your symptoms. If your body makes too much of a type of hormone called androgen, it could lead to HS.
According to NCATS, inflamed follicles usually last 1 or 2 weeks and reappear every 1 or 2 months. Doctors can prescribe effective treatments to help manage folliculitis outbreaks. Folliculitis is caused by damage to your hair follicles, which leaves them vulnerable to infection-causing bacteria and fungi. A sitz bath can soothe clogged hair follicles in the groin and buttocks area. You can make one at home by mixing salt or sodium bicarbonate in the bath. Drugstores also have small plastic sitz baths that sit on your toilet seat.
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Gram-negative folliculitis occurs most often when a person uses oral antibiotics, particularly tetracyclines. Folliculitis initially causes small, red bumps that look similar to an acne breakout. Over time, it may spread to other follicles and the bumps may get larger and more inflamed.
Your doctor can check to see if you make too much of it. If you’re female, they might test you for a condition called polycystic ovarian syndrome (PCOS). Make an appointment with your health care provider if your condition is widespread or the symptoms don't go away after a week or two of self-care measures. You may need a prescription-strength antibiotic or antifungal medication to help control the condition.
Scalp
Both folliculitis and mild hidradenitis suppurativa may respond to similar medical treatments. Pilar cysts on the scalp are not cancerous and usually don’t have negative effects on your overall health. While most pilar cysts are painless, some cysts may be irritated if you bump or scratch them. Being located on your scalp, it is easy to brush or comb your pilar cyst without realizing it. If you don’t want to wait and see if the pilar cyst on your scalp shrinks, you can talk to your doctor about more active treatment options.
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Wash your scalp regularly to avoid a buildup of hair products and oils that can clog or irritate your hair follicles. Folliculitis can come back again after treatment if you don’t change your hygiene practices and self-care habits. Keeping your skin clean is an important part of its health. It’s also good to know what triggers your folliculitis so you can avoid those things in the future. When hair follicles are damaged, they may be invaded by viruses, bacteria and fungi.
That’s often because a hair follicle has become blocked up with bacteria. Malassezia is a type of yeast naturally found on your skin. If too much grows, it can get into a hair follicle and make your skin itchy. You’re more likely to have this type if your skin is oily, you have dandruff, or you sweat a lot. Superficial folliculitis is when only part of the hair follicle is damaged, while deep folliculitis is when the whole follicle is damaged.
“Use a variety of different shampoos—don’t use the same shampoo every day; rotate them,” LoGerfo says. Using a medicated shampoo in more severe cases can help. Over time, areas of skin, such as your underarms or groin, may be filled with widespread lumps and significant amounts of thickened scar tissue. If you have any of these symptoms, talk to your doctor right away. Choose a brush specifically designed for your hair type and needs. For example, use a wide-tooth comb for curly hair and a soft-bristle brush for fine hair.
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