Folliculitis (cont.)
Gary W. Cole, MD, FAAD
Dr. Cole is board certified in dermatology. He obtained his BA degree in bacteriology, his MA degree in microbiology, and his MD at the University of California, Los Angeles. He trained in dermatology at the University of Oregon, where he completed his residency.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Folliculitis facts
- What is folliculitis? What are folliculitis symptoms and signs? What does folliculitis look like?
- Who develops folliculitis?
- What are the causes of folliculitis?
- How is folliculitis diagnosed?
- What else could folliculitis look like?
- What are common types of folliculitis?
- What is hot tub folliculitis or Jacuzzi folliculitis?
- What is razor burn folliculitis?
- What is pseudofolliculitis barbae?
- Is folliculitis curable? Is folliculitis contagious?
- What are possible complications of folliculitis?
- How is folliculitis treated?
- What is the prognosis (outlook) with folliculitis?
- How do I prevent folliculitis?
- Find a local Dermatologist in your town
How is folliculitis treated?
There are many treatment options and skin care recipes for treating folliculitis. The specific treatment depends on the cause of the folliculitis.
Home therapy for mild cases of bacterial folliculitis includes use of an over-the-counter antibacterial wash like benzoyl peroxide (Clearisil, Proactiv), chlorhexidine (Hibiclens), or Phisoderm twice a day. The best results may be achieved with combination therapy using topical products and antibacterial washes.
Holistic treatment for folliculitis may include soaking the affected area in a tub of diluted white vinegar (1 part vinegar to 4 parts of water) or soaking in a bathtub with very diluted Clorox bleach (¼ cup of Clorox bleach in a bathtub full of water).
Bacterial folliculitis may be treated with antibacterial skin washes and topical and/or oral antibiotics. It is important to keep in mind that as with any condition, no therapy is uniformly effective in all people. Your doctor may need to help evaluate the cause of your folliculitis.
Moderate cases of bacterial folliculitis may be treated by a routine of twice-daily application of a topical antibiotic, such as clindamycin lotion or metronidazole lotion. A five- to 30-day course of an oral antibiotic like cephalexin (Keflex), dicloxacillin (Dynapen), doxycycline, minocycline (Dynacin, Minocin), tetracycline (Sumycin), ciprofloxacin (Cipro), or levofloxacin (Levaquin) may be used for folliculitis that is more resistant. After initial clearing with stronger medications, a milder maintenance antibacterial wash and topical antibiotic may be recommended.
Learn more about: clindamycin
Fungal or yeast folliculitis is often treated with an antifungal shampoo or body wash such as ketoconazole (Nizoral shampoo) twice daily. More resistant or deeper fungal folliculitis may require the addition of a topical antifungal cream such as miconazole (Lotrimin) or terbinafine (Lamisil) and an antifungal pill such as fluconazole (Diflucan).
Persistent skin discoloration called hyperpigmentation may be treated with prescription fading creams like hydroquinone 4%, kojic acid, and azelaic acid 15%-20%. Over-the-counter fading creams with 2% hydroquinone may be available like Porcelana.
Learn more about: Accutane
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