Introduction
Folliculitis is an infectious or non-infectious inflammation of the hair follicle, most often bacterial in origin, but sometimes fungal, mechanical or inflammatory.
Symptoms
- Small red spots centred on a hair
- Superficial pustules
- Burning or stinging sensation
- Localised itching
- Pain if secondary infection develops
- Recurrent or chronic lesions
Causes
- Bacteria (often Staphylococcus aureus)
- Harsh shaving or hair removal
- Friction and tight clothing
- Excessive sweating
- Prolonged moisture
- Poorly cleaned shaving equipment
Diagnosis
- Dermatological clinical examination
- Assessment of the site and context
- Bacterial swab if recurrent
- Ruling out other follicular skin conditions
Treatments
- Topical antiseptics
- Topical antibiotics
- Oral antibiotics for extensive forms
- Suitable dermocosmetic skincare
- Medical laser hair removal (to prevent recurrence)
- Anti-inflammatory medical LED therapy
- Post-hair-removal care protocols
Management
Targeted treatment according to the cause
Adapting shaving techniques
Prevention of recurrences
Dermatological follow-up if chronic