Folliculitis

It is an inflammation of hair follicle appeared as red-bumps,white headed pimples and sometimes blister formed around mouth or face

Dermatomicroscopical Appearance : Causative agent  for this disease 

• Pseudomonas Aeruginosa : Gram negative rods,motile by single or multiple polar flagella,measuring 0.6 & 0.2 micromete & Occur as single bacterium ,in pairs  ,occasionally as short chain
• Staphylococcus  spp. :  Gram stain -Gram positive,morphology-cocci(spherical),Arrangement-single cell or pairs in short chains but appear predominantly in grapes like cluster

Symptoms

• Spreading small red bumps or white headed pimples that arise around hair  follicle
• Blister containing pus & break open & crust form
• Itching & burning sensation on affected skin
• Painful & tender skin sometimes a large swollen bumps or mass can be found

Types of folliculitis 

There are two types of folliculitis usually found in affected patient .The superficial folliculitis involves part of the follicle, & the deep folliculitis involves the full area of follicle &  usually severe case

• Superficial folliculitis

1. Bacterial folliculitis : itching & white ,pus filled bumps cause staph. Aureas attack hair follicle due to they usually live on skin all the time.
2. Hot tub folliculitis : A patch of red ,round ,itchy bumps caused by pseudomonas bacteria
3. Razor bumps(pseudofolliculitis):there are found on face or neck who shave closely
4. Pityrosporum folliculitis : these types of folliculitis are found with chronic itching &red pustules  on the back & chest,sometimes on the neck ,shoulder ,upper arm and face caused by yeast infection

• Deep folliculitis

1. Sycosis  barbae : this affects mainly in male patient who started to shave
2. Gram negative folliculitis :this affects when a patient takes long term antibiotics for acne
3. Boils & curbuncles :these occur when hair follicles become deeply infected with staph.bacteria .A boils usually appears suddenly as a painful pink or red bump.A curbuncle is a cluster of boils
4. Eosinophilic folliculitis :  these type of folliculitis are found with HIV/AIDS patients .Sypmtoms are Intense itching and reccuring patches of bumps and pimples that form adjacent hair follicle of the face and upper arm of body ,once healed -the affected skin may be hyperpigmented

Treatment

Systemic route :

Antibiotics -Doxycycline 100mg,Flucloxacillin 500mg for 10 days

Topical therapeutic :clindamycin phosphate 1.2%+tretinoin 0.025%

Antihistamine

Bilastine 20mg once daily  for 10 days