Folliculitis: Symptoms, Causes, and When to Seek Help

Q: Folliculitis: Symptoms, Causes, and When to Seek Help

Hello： In response to your question, folliculitis typically does not cause fever unless it has progressed to a boil or carbuncle. <br>If you have developed inflamed lesions on your buttocks that have ruptured and are bleeding, it is advisable to consult a dermatologist.

Similar to folliculitis?

Hello, I previously had similar symptoms that resembled folliculitis, but they weren't as large as this time.
This time, after it appeared, I experienced fever symptoms every day for several days.
After taking antipyretics, the fever would return the next day, and I didn't have any other cold symptoms.
I'm wondering if this could be the cause.
In the past, I didn't pay much attention to it, and it would resolve on its own, but this time, while I was sitting yesterday, it ruptured and bled a lot.
The bleeding hasn't stopped, and there has been a continuous light red discharge for over 10 hours.
What should I do now? Which specialist should I see?

sunny, 20~29 year old female. Ask Date: 2007/02/26

Dr. Jiang Yujiao reply Dermatology

Hello: In response to your question, folliculitis typically does not cause fever unless it has progressed to a boil or carbuncle.
If you have developed inflamed lesions on your buttocks that have ruptured and are bleeding, it is advisable to consult a dermatologist.

Reply Date: 2007/02/26

More Info

Hello! It sounds like you are experiencing a concerning situation with what you believe to be folliculitis, especially given the symptoms you've described, including fever and significant bleeding. Let’s break down the information regarding folliculitis, its symptoms, causes, and when to seek medical help.

Understanding Folliculitis
Folliculitis is an inflammation of the hair follicles, often caused by infection, irritation, or blockage. It can manifest as small, red bumps or white-headed pimples around hair follicles, and it may be itchy or painful. In some cases, it can lead to larger, pus-filled lesions.

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Symptoms of Folliculitis:
- Red bumps or white-headed pimples around hair follicles
- Itching or tenderness in the affected area
- Pain or discomfort
- In more severe cases, the area may become swollen and filled with pus
- Fever may occur if the infection spreads

Causes of Folliculitis:
- Bacterial Infection: The most common cause is a bacterial infection, particularly from Staphylococcus aureus.

- Fungal Infection: Certain fungi can also cause folliculitis.

- Irritation: Friction from clothing, shaving, or other forms of irritation can lead to folliculitis.

- Blocked Follicles: Excess oil, sweat, or dirt can block hair follicles, leading to inflammation.

When to Seek Help:
Given your symptoms, especially the fever and significant bleeding, it is crucial to seek medical attention promptly. Here are some guidelines on when to see a doctor:
1. Persistent Symptoms: If the symptoms do not improve or worsen over a few days.

2. Severe Pain: If you experience significant pain in the affected area.

3. Fever: If you have a fever that persists, as this may indicate a more serious infection.

4. Excessive Bleeding: If you are experiencing continuous bleeding, as you mentioned, this is a sign that you should seek immediate medical attention.

5. Signs of Systemic Infection: If you notice symptoms such as chills, increased heart rate, or confusion, these could indicate that the infection is spreading.

Which Specialist to See:
For your situation, it would be best to see a dermatologist, as they specialize in skin conditions, including folliculitis. If the bleeding continues or if you feel very unwell, you might want to go to the emergency room or an urgent care facility, especially since you mentioned that the bleeding has persisted for over 10 hours.

Conclusion:
In summary, while folliculitis can often be managed with home care, your current symptoms—especially the fever and prolonged bleeding—indicate that you should seek medical attention as soon as possible. A healthcare professional can provide a proper diagnosis and treatment plan, which may include antibiotics if a bacterial infection is present. Please take care of yourself and do not hesitate to seek help immediately.

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