Folliculitis should be seen in the dermatology department.

Written by Liu Gang
Dermatology
Updated on September 09, 2024
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Folliculitis is often due to overactive sebaceous glands, consumption of spicy and irritating food, or frequent late nights, leading to skin inflammatory infections. These often occur on the face, chest, back, or scalp. This condition falls under the scope of dermatology, and treatment can be sought at a standard hospital's dermatology department. Commonly prescribed oral and topical anti-inflammatory medications can completely alleviate the condition. In cases where individual folliculitis is particularly severe and painful, the affected area can be disinfected and lanced with a needle to drain the pus and blood. Afterwards, it is crucial to avoid spicy and irritating foods for a long period, refrain from staying up late, avoid keeping small animals at home, and consume more bland foods. Additionally, consuming Chinese herbal medicines that clear heat and reduce fire can be beneficial.

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Written by Zhu Zhu
Dermatology
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What are the symptoms of folliculitis?

Folliculitis is a common purulent inflammatory skin disease, usually caused by bacterial infection. The symptoms of folliculitis initially manifest as small red papules which, after several days or weeks, develop small pustules at the center with a surrounding erythema forming pustules. These dry out or rupture later to form yellow crusts. Generally, there are no scars left after the crust peels off.

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Written by Liu Gang
Dermatology
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Does folliculitis recur?

Folliculitis tends to recur frequently and is generally related to one’s diet and lifestyle habits. Long-term consumption of spicy and irritating foods, staying up late, and experiencing anxiety or stress can all lead to repeated episodes of folliculitis. Once this condition appears, it is essential to seek proper treatment. Treatment should be sought from a dermatology department at an established hospital, including oral and topical medications, and can be complemented with red light therapy. After treatment, it is crucial to avoid spicy and irritating foods, staying up late, and situations that may cause anxiety or stress for an extended period. It is also advisable to avoid public baths and swimming pools. For individual cases of folliculitis, if the lesion is relatively large, it can be disinfected with povidone-iodine, then lanced to clean out the pus and blood. Regular consumption of heat-clearing, anti-inflammatory traditional Chinese medications can also be beneficial. (Please follow a professional physician's guidance when using medications and do not self-medicate.)

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Written by He Da Wei
Dermatology
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Is chicken skin keratosis pilaris?

Chicken skin, scientifically known as keratosis pilaris, is a chronic keratinizing skin disease of the hair follicles, not folliculitis. Keratosis pilaris has a high prevalence rate, often beginning in childhood and becoming significantly worse during adolescence. The condition may be related to genetics, vitamin A deficiency, and metabolic disorders. It commonly occurs on the upper arms, near the shoulders, and on the extensor sides of the thighs. Chicken skin appears as a distinctive rough texture on the skin, with follicular papules ranging from the size of a pinhead to a grain, matching the color of the skin, and not merging. Generally, this condition does not require treatment as it primarily affects only the aesthetic appearance of the skin. However, topical treatments such as tretinoin cream and urea cream can be used, and in severe cases, oral vitamin A, vitamin E, or retinoid medications may be prescribed. (Use medications under medical supervision.)

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Written by Liu Gang
Dermatology
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Can you drink alcohol with folliculitis?

Folliculitis generally requires abstaining from alcohol, as well as spicy foods like chili peppers, lamb, and seafood. These should be avoided as much as possible because folliculitis is related to consuming spicy and irritating foods, frequently staying up late, and similar habits. Therefore, during the treatment or recovery phase, it is advisable to strictly avoid these, as well as avoiding staying up late, stress, and anxiety. It is also recommended to avoid public baths and swimming pools. Folliculitis is commonly treated with some oral and topical anti-inflammatory medications which can completely cure it. If individual lesions are particularly prominent or painful, local disinfection can be performed, and the pus and blood can be drained by piercing with a needle. For larger, more stubborn folliculitis that does not subside over time, surgical removal may be recommended.

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How to treat folliculitis in the buttocks area?

Folliculitis in the buttocks should first avoid continued exposure to damp environments, keeping the area dry, and applying topical medications such as Rifan and potassium permanganate solution. Apply these topically twice a day, in the morning and evening, along with oral anti-inflammatory and antibacterial medication. Topical application of traditional Chinese medicine plasters, such as those promoting tissue regrowth and pus discharge, can also be used to break open and heal the pus-filled abscesses formed after folliculitis. Alternatively, using Western medicine approaches, after the acute inflammation and redness subside and significant abscesses form, incision and drainage can be performed. Both of these methods are viable, but avoid incisions and surgical treatments during the acute phase.