Symptoms and treatment of hair folliculitis

  Folliculitis is an inflammatory disease caused by Staphylococcus aureus infection of hair follicles. This disease has been recorded in Chinese medicine for a long time. It is called “hair sore” if it is born in the hair area behind the neck; “beard sore” or “bird’s nest sore” if it is born in the jaw; “eyebrow sore” if it is born between the eyebrows; “sitting sore” if it is born in the buttocks. “Brow sore”; “Sitting sore” for those on the buttocks, etc.  I. Symptoms: The basic damage is a red papule consistent with a hair follicle, with a hair running through its center, the tip rapidly suppurating to form a pus point, surrounded by a red halo. Later, a small amount of pus is discharged and dries to a crust. After healing, there is no trace or superficial scarring, and itching is felt. Recurrent folliculitis is called recurrent folliculitis. It is easy to occur on the basis of pruritic skin disease.  The cause of folliculitis is mainly Staphylococcus aureus and occasionally Staphylococcus epidermidis, Streptococcus, Pseudomonas spp. and Escherichia coli. It occurs mainly in minors, immunocompromised or diabetic patients. Hair pulling, scratching, impregnation of the skin, local sealing bandages, skin damage, frequent contact with tar-like substances, or long-term application of tar ointments or corticosteroid medications, and frequent skin friction are the triggering factors for this disease. Folliculitis begins as a red, congested papule that rapidly develops into a papular pustule, which then dries and crusts over, leaving no trace of scabbing. The rash is numerous, but not fused, and is self-induced itching or mildly painful.  Clinical diagnosis: 1. Prevalent in people: immunocompromised, diabetic, anemic patients are common.  2. Prevalent sites: head, face, neck, extremities and buttocks. The hairy parts of adults; children are more hairy parts, and after healing can leave small patches of baldness.  3, the characteristics of the lesions: initially red filled papules, later the top quickly developed into papular pustules, followed by drying, crusting, scabs off without leaving traces. They can appear in batches, do not fuse with each other, and have hard pockets.  4.Self-perceived symptoms: itching. Folliculitis of the head can irritate the hair roots causing severe pain.  5. After healing: easy to recur, usually no scarring after healing.    1, local treatment: the principle to sterilization, anti-inflammatory, and promote absorption. Early topical ointment, such as: iodine volt, abscess formation folliculitis can be incised to drain the pus, before maturity is strictly prohibited to squeeze.  2, systemic treatment: the systemic symptoms are significant to give antibacterial drugs, the choice of broad-spectrum antimicrobial, oral vitamin B. Recurrent occurrence to add the regulation of immunity drugs such as BCG polysaccharide. Nucleic acid muscle injection .  3, physical therapy: available ultraviolet light, infrared radiation, or helium-neon laser treatment.