Struggling with Skin Issues: Seeking Help for Folliculitis and Warts - Dermatology

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Hello: I have previously experienced simplex herpes and shingles! When I get tired, I have back pain or sores at the corners of my mouth! A few years ago, I moved north for work and, due to the change in environment, I contracted folliculitis and sun allergy! In recent years, I returned home and underwent chemical peels for acne on my face! Unexpectedly, my acne did not improve, but I got infected with viral warts from a beauty therapist! I have been undergoing treatment, but they keep recurring! Now I am pregnant and worried about the potential impact on my baby! The warts have also spread to my scalp, face, fingers, and the outer side near my breast! What should I do to get rid of the nightmare of folliculitis and viral warts? Why do these stubborn skin conditions keep coming back? Is this related to immune or rheumatic issues? Should I seek relevant medical treatment and consultation? Please help me! I am almost driven crazy by these skin diseases!

Wunai de ren, 30~39 year old female. Ask Date: 2004/07/19

Dr. Huang Ruiyun reply Dermatology


1.
Herpes zoster rarely recurs, but it can leave behind neuropathic pain.
At 32 years old, neuropathic pain usually resolves within a few months.
If it persists, consider factors such as improper posture or strain that may be causing back pain, and it is advisable to consult a neurologist.
2.
Simple herpes cannot be completely eradicated.
As long as it does not occur in the genital area, lesions at the corners of the mouth do not harm the fetus.
3.
Folliculitis, sun allergy, acne, and warts should be evaluated and treated in a dermatology clinic, as online consultations cannot provide assistance.
4.
The area you described for the wart is too large; it may not necessarily be a wart.
Some skin changes during pregnancy can resemble warts but are not warts, so it is important to have a dermatologist evaluate the condition.
Obstetricians may not be able to make a differential diagnosis.

Reply Date: 2004/07/19

More Info


Dealing with persistent skin issues such as folliculitis and warts can be incredibly frustrating, especially when compounded by other health concerns like pregnancy. It’s important to approach these conditions with a comprehensive understanding of their causes and treatments.

Folliculitis is an inflammation of the hair follicles, often caused by bacterial or fungal infections. It can manifest as red, itchy bumps that may resemble acne. Factors such as excessive sweating, tight clothing, and improper shaving techniques can exacerbate this condition. To manage folliculitis, consider the following steps:
1. Maintain Hygiene: Regularly cleanse the affected areas with a gentle, antibacterial soap. Avoid harsh scrubs that can irritate the skin further.

2. Avoid Irritation: Wear loose-fitting clothing to reduce friction on the skin. If you shave, use a clean razor and shave in the direction of hair growth to minimize irritation.

3. Topical Treatments: Over-the-counter topical antibiotics or antifungal creams may help reduce inflammation and clear up the infection. In more severe cases, a healthcare provider may prescribe oral antibiotics.

4. Moisturize: Keeping the skin hydrated can help prevent dryness and irritation, which can worsen folliculitis.

As for warts, which are caused by the human papillomavirus (HPV), they can be particularly stubborn and may require multiple treatment modalities. Here are some options:
1. Topical Treatments: Salicylic acid is a common over-the-counter treatment that helps to gradually peel away the wart. Consistency is key, as it may take several weeks to see results.

2. Cryotherapy: This involves freezing the wart with liquid nitrogen, which can be performed by a healthcare professional. This method may require multiple sessions.

3. Laser Treatment: For persistent warts, laser therapy can be effective in destroying the wart tissue.

4. Immunotherapy: This approach involves stimulating the immune system to fight off the virus causing the warts. This can be particularly useful for warts that do not respond to other treatments.

Regarding your concerns about pregnancy, it’s understandable to worry about the potential effects of skin conditions on your baby. Generally, warts are not harmful to the fetus, but it’s crucial to consult with your healthcare provider about any treatments you are considering during pregnancy. They can guide you on safe options and monitor your skin conditions closely.

The recurrence of these skin issues could be linked to several factors, including your immune system's response. Stress, hormonal changes, and environmental factors can all play a role in skin health. It’s essential to manage stress through relaxation techniques, adequate sleep, and a balanced diet rich in vitamins and minerals that support skin health.

Lastly, if you feel overwhelmed by these skin conditions, seeking the advice of a dermatologist is highly recommended. They can provide tailored treatment plans and help you navigate the complexities of your skin issues, especially during pregnancy. Remember, you are not alone in this struggle, and with the right care and support, you can find relief from these persistent skin problems.

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