What Is Folliculitis?
Folliculitis on the face is a disorder that occurs when hair follicles become infected with bacteria and result in a tender red spot. Less commonly, the infection may be caused by a virus or fungus in the follicle. Hair follicles are sacs under the skin where hairs originate.
What Are Symptoms of Folliculitis on The Face?
Symptoms of folliculitis on the face include:
What Causes Folliculitis on The Face?
Folliculitis on the face is considered to be an inflammatory reaction to blockages of hair follicles, and is believed to be caused by:
- Bacteria (Staphylococcus aureus, Cutibacterium acnes)
- Yeasts (Malassezia species)
- Mites (Demodex folliculorum)
- Skin products
- Hair removal processes such as shaving, waxing, and plucking
- Ingrown hairs
- Some drugs, such as corticosteroids
- Tight clothing
- Sticky bandages
How Is Folliculitis on The Face Diagnosed?
Folliculitis on the face is usually diagnosed with a patient history and physical examination.
Tests that may be indicated to help confirm a diagnosis of folliculitis on the face or to rule out other conditions may include:
- Gram stain and culture of the contents of a pustule
- Skin biopsy
What Is the Treatment for Folliculitis on The Face?
Treatment for folliculitis on the face includes:
- Topical antibiotics
- Clindamycin solution
- Erythromycin solution
- Topical steroid creams or lotions
- Oral antihistamines
- Oral antibiotics, particularly long-term tetracycline
- Oral isotretinoin
- Long-term low dose treatment may be required
How Do You Prevent Folliculitis on The Face?
Folliculitis on the face may be prevented in some cases.
- Wash your hands frequently
- Use clean razor blades and replace blades frequently, or use an electric razor or hair removal products (depilatories) instead of shaving or plucking
- Avoid use of oily skin products
- Be careful if entering a hot tub – only use hot tubs you know are well-maintained
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