Folliculitis: Should You Be Concerned About Skin Inflammation? - Internal Medicine

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Folliculitis


Hello, although I visited a dermatologist this afternoon, and the doctor mentioned it was folliculitis and prescribed clindamycin for topical use, I am a bit worried and unsure if this could be something serious.
I have heard that lumps near the chest should be checked, but what I feel doesn’t seem to resemble that; it’s just a slightly red and mildly raised area.
The dermatologist reassured me that it’s not serious and advised me not to overthink it.
Should I really not be too concerned about this? Here is the image link with the marked area: https://ibb.co/VBsxbTK Thank you!

Hei, 10~19 year old female. Ask Date: 2020/11/12

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on the photos you provided, it does appear to be more like folliculitis or eczema.
Given your description that it appeared suddenly, the likelihood of cancer is very low.
I recommend following your physician's advice regarding topical treatment, unless it continues to grow larger, in which case further examination may be necessary.
Thank you for your inquiry.

Reply Date: 2020/11/12

More Info


Folliculitis, or inflammation of the hair follicles, is a common skin condition that can cause concern for many individuals. It typically presents as small, red bumps or pustules around hair follicles, often accompanied by itching or tenderness. The condition can be caused by a variety of factors, including bacterial infections, fungal infections, irritation from shaving or friction, and even certain skin conditions like acne.

In your case, it seems that you have already consulted a dermatologist who diagnosed you with folliculitis and prescribed clindamycin, which is an antibiotic that can effectively treat bacterial infections. It’s important to follow your doctor's instructions regarding the use of this medication. Clindamycin works by inhibiting bacterial growth, which can help reduce inflammation and clear up the infection.

Your concern about the redness and slight elevation of the bumps is understandable, especially if you have heard about more serious conditions associated with skin changes. However, it’s reassuring that your dermatologist has assessed the situation and indicated that it is not severe. Dermatologists are trained to recognize various skin conditions and can often distinguish between benign issues and those that require further investigation.

It’s also worth noting that folliculitis is generally not a serious condition and can often be managed effectively with proper treatment. In many cases, it resolves on its own or with topical treatments. However, if the condition persists or worsens despite treatment, or if you notice any new symptoms such as fever, spreading redness, or increased pain, it would be wise to follow up with your dermatologist.

In terms of self-care, here are some recommendations to help manage folliculitis:
1. Avoid Irritation: Try to avoid tight clothing and friction in the affected areas. If you shave, consider using a clean razor and shaving in the direction of hair growth to minimize irritation.

2. Keep the Area Clean: Gently cleanse the affected area with a mild soap and water. Avoid harsh scrubs or exfoliants that can further irritate the skin.

3. Moisturize: If your skin feels dry, using a non-comedogenic moisturizer can help maintain skin hydration without clogging pores.

4. Avoid Picking: Refrain from picking or squeezing the bumps, as this can lead to further irritation or potential scarring.

5. Warm Compresses: Applying a warm compress to the affected area can help soothe inflammation and promote healing.

6. Follow Up: If you have any concerns about the effectiveness of the treatment or if your symptoms do not improve, do not hesitate to return to your dermatologist for further evaluation.

In conclusion, while it’s natural to feel anxious about skin changes, it appears that you are on the right path with your current treatment. Trust your dermatologist's expertise, and take care of your skin with the recommendations provided. If you have any lingering doubts or if your condition changes, seeking further medical advice is always a good idea. Remember, early intervention can often lead to better outcomes in skin health.

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