and Treating Abdominal Folliculitis for Clear Skin - Dermatology

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Abdominal furunculosis


Hello Doctor: I have been experiencing acne around my lower abdomen and the upper part of my buttocks for a long time, which leaves dark scars! This has prevented me from going to the swimming pool.
What could be the cause? How can I treat it and make the scars disappear so that I can confidently go swimming? Thank you for your help.

A-Wang, 30~39 year old female. Ask Date: 2006/07/17

Dr. Jiang Zheen reply Dermatology


First, prevent acne from recurring by keeping the area well-ventilated and cool, and avoid sitting for extended periods.
For scar issues, you can apply topical depigmenting agents.
Wishing you peace, Jesus loves you.

Reply Date: 2006/07/17

More Info


Abdominal folliculitis, often characterized by the inflammation of hair follicles, can manifest as small red or pus-filled bumps on the skin, particularly in areas where hair is present. This condition can be caused by various factors, including bacterial infections, friction from clothing, excessive sweating, and even certain skin care products that may clog the follicles. In your case, the bumps on your lower abdomen and upper buttocks, along with the dark scars they leave behind, suggest that you may be experiencing a form of folliculitis that is persistent and possibly aggravated by friction or irritation.

To effectively treat abdominal folliculitis and promote clearer skin, it is essential to adopt a multi-faceted approach:
1. Hygiene and Skin Care: Maintain good hygiene by cleansing the affected areas gently with a mild, non-comedogenic cleanser. Avoid harsh scrubs or exfoliants that can irritate the skin further. After showering, pat the skin dry instead of rubbing it, which can exacerbate inflammation.

2. Topical Treatments: Over-the-counter topical treatments containing benzoyl peroxide or salicylic acid can help reduce inflammation and clear up the bumps. If the condition is more severe, a dermatologist may prescribe topical antibiotics or retinoids to help manage the inflammation and prevent scarring.

3. Avoiding Irritation: Wear loose-fitting clothing made from breathable fabrics to minimize friction and sweating in the affected areas. Tight clothing can exacerbate folliculitis by trapping moisture and heat, creating an environment conducive to bacterial growth.

4. Moisturizing: Use a non-comedogenic moisturizer to keep the skin hydrated. This can help prevent dryness and irritation, which can worsen folliculitis.

5. Sun Protection: Protecting your skin from the sun is crucial, especially if you have dark scars. Use a broad-spectrum sunscreen with an SPF of at least 30 to prevent further darkening of the scars and to promote healing.

6. Scar Treatment: For existing scars, treatments such as silicone gel sheets, vitamin E oil, or products containing alpha hydroxy acids (AHAs) may help improve their appearance over time. In some cases, dermatological procedures like chemical peels, laser therapy, or microdermabrasion may be recommended to reduce the visibility of scars.

7. Consult a Dermatologist: If your symptoms persist or worsen, it is advisable to consult a dermatologist. They can provide a proper diagnosis, rule out other conditions, and recommend more advanced treatments, such as oral antibiotics or other medications tailored to your specific needs.

8. Lifestyle Modifications: Consider dietary changes that may help reduce inflammation in your body. A diet rich in antioxidants, omega-3 fatty acids, and low in processed sugars can support skin health.

In summary, addressing abdominal folliculitis requires a combination of proper skin care, topical treatments, and lifestyle adjustments. By following these steps and consulting with a healthcare professional, you can work towards clearer skin and regain the confidence to enjoy activities like swimming without hesitation. Remember, patience is key, as skin healing can take time, and consistent care will yield the best results.

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