Folliculitis

Folliculitis is an inflammation or infection of hair follicles in the skin, generally affecting one general area of the skin.

What is folliculitis?

Folliculitis is a common condition where hair follicles become inflamed or infected. It appears as small red or pus-filled bumps around hairs, often resembling acne, and can be itchy, tender or sore. Folliculitis can occur anywhere on the body where hair grows, and while it's usually mild, it can sometimes lead to more severe infections or scarring if left untreated.

What causes folliculitis?

Folliculitis is caused by the infection or inflammation of hair follicles, which can result from:

Bacterial or fungal infections
Physical or chemical irritants
Hair removal
Blocked hair follicles
Weakened or altered immune system
Steroid creams or other occlusive topical treatments
Friction and exercise

General symptoms

Bumps

Small, red, or pus-filled bumps that develop around hair follicles

Itching

The affected area may be itchy, sore, or tender to the touch

Swelling

Mild swelling or inflammation around the hair follicles

Discomfort

The affected area can be painful, especially if the infection is deeper or more severe

Clusters

The bumps may appear in clusters, often resembling a rash or acne breakout

Types of folliculitis

Sycosis barbae

Sycosis barbae or pseudofolliculitis barbae is a chronic folliculitis that affects the beard area, often caused by ingrowing hairs, irritation of the wall of the hair follicle and skin and then secondary bacterial infection. It may in part be related to shaving practice and shaving related irritation. It leads to red, inflamed, and sometimes painful bumps that can result in scarring or hair loss if untreated.

Sycosis barbae – folliculitis in beard area

Hot tub folliculitis

Hot tub folliculitis is caused by bacteria after exposure to contaminated water in bodies of water such as pools or hot tubs. It presents as red, itchy bumps that appear within a few days of exposure and usually resolves on its own.

Hot tub folliculitis on the back

Gram-negative folliculitis

Gram-negative folliculitis can occur after prolonged antibiotic use for acne, leading to an overgrowth of gram-negative bacteria. It resembles acne but may not respond to typical treatments.

Gram-negative folliculitis on neck and scalp

How to treat folliculitis

You can treat folliculitis in several ways. However, not all these methods may work for a specific case and it is likely you will need a combination of them to work. We will always advise on the best treatment option during a consultation with you.

Topical antibiotics (depending on the cause of infection)
Oral medications
Proper hygiene care
Avoiding any potential irritants

How to prevent folliculitis

To give yourself the best defence against potentially contracting folliculitis, follow these steps:

Keep your skin dry and clean
Avoid any chemicals or irritants that affect your skin
Use clean razors and shaving gel to help lubricate your skin and shave in the direction of hair growth (not against the grain)
Keep your skin moisturised but apply in a downward direction on limbs and avoid circular rubbing of creams

Important information

When should I see a dermatologist about folliculitis?

You should see a dermatologist about folliculitis if the condition persists for more than a few days, worsens, or spreads despite home treatments. Also, seek professional help if the affected area becomes increasingly painful, swollen, or shows signs of infection-like pus, or if you experience recurring episodes.

What's the first steps for dealing with folliculitis?

The first step is to book a consultation with one of our experts. From there, we will assess your hair and scalp, reviewing the pattern and severity of your condition, as well as any underlying scalp conditions. We will also consider your medical history, current medications, and any prior treatments you've undergone. Our team will then recommend the most effective treatment tailored to your needs, along with an aftercare plan aimed at promoting hair regrowth and improving overall scalp health.

Folliculitis FAQs

We strive to provide you with advice and options to regain confidence in your hair. By implementing the appropriate measures, you can achieve significant improvements in hair growth and overall hair health.

Accreditations & memberships

Our consultants are members of leading UK and international dermatology and hair specialist bodies.

Accreditations and professional memberships: Royal College of Physicians, European Hair Research Society (EHRS), British Association of Dermatologists, British Hair & Nail Society, American Academy of Dermatology Association (AAD), European Academy of Dermatology & Venereology (EADV)
  • Royal College of Physicians
  • European Hair Research Society (EHRS)
  • British Association of Dermatologists
  • British Hair & Nail Society
  • American Academy of Dermatology Association (AAD)
  • European Academy of Dermatology & Venereology (EADV)

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