Folliculitis: Causes, Symptoms, and Treatment Options

Folliculitis issues?

I have a large pimple on my thigh, which I later found out online is folliculitis.
It was painful for a month, and after I forcibly drained it, it started to heal, but the scar is dark.
Now, other areas on my thigh are starting to develop similar bumps, although they are not as large.
I have been applying a topical antibiotic, and the pain has subsided, but I can't drain any pus, and after a day or two, it becomes hard like a lump.
Will this eventually go away, or should I seek medical attention?

Sheng, 20~29 year old female. Ask Date: 2017/09/28

Dr. Wu Yuxin reply Dermatology

You should seek medical attention.

Reply Date: 2017/09/28

More Info

Folliculitis is an inflammatory condition affecting the hair follicles, often resulting in red, swollen bumps that can be painful or itchy. It can occur anywhere on the body where hair follicles are present, including the thighs, as you have experienced. Understanding the causes, symptoms, and treatment options for folliculitis can help you manage your condition effectively.

Causes of Folliculitis
Folliculitis can be caused by a variety of factors, including:
1. Bacterial Infections: The most common cause is infection by Staphylococcus aureus, a type of bacteria that normally lives on the skin but can cause infection when hair follicles are damaged or irritated.

2. Fungal Infections: Certain fungi can also lead to folliculitis, particularly in warm, moist environments.

3. Irritation: Friction from clothing, shaving, or waxing can irritate hair follicles, leading to inflammation.

4. Blockage: Excess oil, sweat, or dead skin cells can block hair follicles, creating an environment conducive to infection.

5. Underlying Conditions: Conditions such as diabetes or immune system disorders can increase the risk of developing folliculitis.

Symptoms
The symptoms of folliculitis typically include:
- Red, inflamed bumps that may resemble acne.

- Pus-filled blisters that can burst and crust over.

- Itching or tenderness in the affected area.

- Hard lumps that may form under the skin, as you described.

Treatment Options
1. Topical Antibiotics: Over-the-counter creams or ointments containing antibiotics can help treat mild cases of folliculitis. If you are using a product like "小護士" (which I assume is a topical treatment), it may help reduce inflammation and prevent infection.

2. Oral Antibiotics: For more severe or persistent cases, a healthcare provider may prescribe oral antibiotics to eliminate the infection.

3. Antifungal Treatments: If a fungal infection is suspected, antifungal creams or medications may be necessary.

4. Warm Compresses: Applying warm compresses to the affected area can help soothe discomfort and promote drainage of any pus.

5. Avoiding Irritation: Wearing loose-fitting clothing and avoiding shaving or waxing the affected area can help prevent further irritation.

When to Seek Medical Attention
Given that you have experienced pain for a month and have developed hard lumps, it would be advisable to consult a healthcare provider. They can conduct a thorough examination and may perform tests to determine the underlying cause of your folliculitis. If the condition is recurrent or not responding to over-the-counter treatments, a healthcare professional can provide a tailored treatment plan.

Conclusion
While folliculitis can often resolve on its own, persistent or painful cases warrant medical evaluation. It is essential to address any underlying causes and to receive appropriate treatment to prevent complications or recurrence. If you notice any worsening symptoms, such as increased redness, swelling, or fever, seek medical attention promptly. Remember, early intervention can lead to better outcomes and help you manage your symptoms effectively.

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