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HS pops up most often where hair follicles and oil and sweat glands meet, like your armpits and groin area. If you shave there, it can irritate your skin and cause breakouts. Talk to your dermatologist about gentler ways to get rid of body hair.
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For example, it might help to apply a warm, moist washcloth to the affected skin, followed by an anti-itch cream. You don’t get HS because you’re dirty or because you have an infection. But your doctor might suggest an antiseptic or antibacterial wash to ease your symptoms. If your body makes too much of a type of hormone called androgen, it could lead to HS.
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It may also happen because of your immune system. Most people get clogged hair follicles from time to time, but if you have HS, your body may be overreacting to those blockages. They’ll also check for tunnels, or sinus tracts. These form when your blocked hair follicles blow up like a balloon and burst under your skin. You can get a kind of drainage river of foul-smelling pus that connects the bumps. Anyone can develop the condition, though some may be more prone to it than others.
What to expect from your health care provider
This condition can cause painful lumps and scarring. Blocked hair follicles range in severity from mild to severe. They start out looking like small and irritated red pimples. Over time, they may look like pus-filled lumps, cysts, or boils.
Do I need to see a dermatologist about folliculitis?
Gram-negative folliculitis occurs most often when a person uses oral antibiotics, particularly tetracyclines. Folliculitis initially causes small, red bumps that look similar to an acne breakout. Over time, it may spread to other follicles and the bumps may get larger and more inflamed.
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The bumps may clear up for a while, then come back. Babies often get folliculitis on their chest and back, too. You get this from swimming in a pool or sitting in a hot tub where pH or chlorine levels aren’t balanced. You’ll see a rash of round, itchy bumps a day or so after being in the water. They should be just one part of your treatment.
What are the types of folliculitis?
They may be in places where you normally don’t have breakouts. Over time they can become painful or maybe get infected and turn into scars. A pilar cyst, sometimes called epidermoid cysts, occurs when a hair follicle gets clogged. They can happen anywhere on your body but are most common on the scalp.
Bacterial folliculitis
Tell your doctor if you’re pregnant or want to be. The condition can be itchy, sore and embarrassing. The infection can spread and turn into crusty sores. Find a doctor you trust, and do whatever you can to reduce your personal risk. The tunnels and thickened scar tissue can cause chronic pain and inhibit movement of the arms or legs.
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Treating Blocked Follicles
You can get it if you cut yourself and bacteria (usually staph) gets in. A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. Scalp folliculitis can be uncomfortable and painful.
For many, the idea of meticulously brushing hair might seem outdated or unnecessary in today’s era of advanced hair care treatments. However, there are potential benefits of using this method to nurture and maintain your hair. The cost of each hair restoration procedure varies in price according to each individual’s specific circumstances.
Your doctor can check to see if you make too much of it. If you’re female, they might test you for a condition called polycystic ovarian syndrome (PCOS). Make an appointment with your health care provider if your condition is widespread or the symptoms don't go away after a week or two of self-care measures. You may need a prescription-strength antibiotic or antifungal medication to help control the condition.
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