In order to treat folliculitis, the cause has to be identified. For instance, if the hair has been removed or epilating wax has been applied, and folliculitis has occurred afterwards, we advise our patients to have their hair removed under more convenient and medical conditions.
In male patients, we observe folliculitis in the beard area. The folliculitis that happens in the beard area are often due to wrong shaving. Then, we advise our patients to shave in the correct direction or have their hair removed by a professional.
Our research points to a microorganism that resides in some parts of the body cause the folliculitis. Particularly those who have a stressful life, and who care for their too much, can experience folliculitis.
Also, the areas which have hair eczema – seborrheic dermatitis – can have folliculitis because hair bearing has lost its structure and has a tendency for infections. Even if the reason for folliculitis is known or not known, you should design a treatment according to the severity of the inflammation.
If the folliculitis is not severe, one can apply a cream that contains antibiotics.
If the folliculitis is very severe, and widespread, the treatment requires the use of oral antibiotics besides the locally applied cream.
If folliculitis recurs frequently, then we can at times prescribe prophylaxis which is a preventive antibiotic.
If the patient is working in very intense and crowded environments, then we suggest them to apply the antibiotics cream once a week per month in the nostrils, armpits and groin area.
If the folliculitis exists in the hair bearing scalp, then the treatment of the skin eczema is very important too. We suggest the use of special soaps and shampoos in this case.
We used to recommend the antibacterial soaps until very recently but a few months ago the FTA institution in the US published an article showing the results of using antibacterial soaps, and therefore, we do not recommend their use anymore. The study shows that the use of antibacterial soaps increases the risk of skin and thyroid cancers in the long term.