Folliculitis
A single spot of folliculitis
SpecialtyDermatology
SymptomsTender small pustule or red bump, itch[1][2]
ComplicationsCellulitis, abscess[1]
TypesBacterial folliculitis, hot tub folliculitis, fungal folliculitis, malassezia folliculitis[1][3]
Risk factorsDiabetes, obesity, antibiotic use, poor immune function, shaving[1]
Diagnostic methodBased on symptoms and examination[1]
Differential diagnosisAcne, papulopustular rosacea, pseudofolliculitis barbae, keratosis pilaris[1]
PreventionGood hygiene[1]
TreatmentDepends on the cause, often conservative[1]
PrognosisGenerally good[1]
FrequencyCommon[1]

Folliculitis is infection or inflammation of one or more hair follicles resulting in one or more small pustules or red bumps.[1] These are generally tender and may be itchy.[2] The condition may occur anywhere on hair covered skin.[1][3] Complications include cellulitis or abscess.[1]

It most commonly occurs due to a bacterial infection though less commonly may result from a fungal, viral, or noninfectious cause.[1] Risk factors include diabetes, obesity, antibiotic use, poor immune function, shaving and certain medications like lithium.[1] Diagnosis is generally based on symptoms and examination.[1] A swab of a pustule for culture may identify the causative organism.[4]

Treatment depends on the underlying cause but is often conservative.[1] When due to Staph. aureus, while a few lesions may resolve on their own, larger numbers of lesions may be treated with antibiotic cream or pills.[1] When due to hot tub use, the outbreak will generally resolve without treatment within 10 days.[1] The condition is common.[1]

References

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  1. ^ a b c d e f g h i j k l m n o p q r s t Winters, RD; Mitchell, M (January 2020). "Folliculitis". StatPearls. PMID 31613534. Archived from the original on 2022-09-21. Retrieved 2023-04-29.
  2. ^ a b Bolognia, Jean L.; Schaffer, Julie V.; Duncan, Karynne O.; Ko, Christine (2021). "31. Folliculitis". Dermatology Essentials (2nd ed.). Elsevier. pp. 282–297. ISBN 978-0-323-70971-2. Archived from the original on 2023-07-18. Retrieved 2023-07-16.
  3. ^ a b "Folliculitis | DermNet NZ". dermnetnz.org. Archived from the original on 12 November 2020. Retrieved 14 November 2020.
  4. ^ de Moll, Helen H.; Phelps, Robert G. (2022). "86. Folliculitis". In Lebwohl, Mark G.; Heymann, Warren R.; Coulson, Ian H.; Murrell, Dedee F. (eds.). Treatment of Skin Disease (6th ed.). Elsevier. p. 291. ISBN 978-0-7020-8210-8. Archived from the original on 2023-07-15. Retrieved 2023-07-16.