Folliculitis

Patients may report itchy or painful small red bumps or pustules in hair-bearing areas, often following shaving, hot tub use, or other skin trauma. They may notice symptoms recurring or worsening with certain triggers like sweat, occlusive clothing, or oily products. 

Risk factors include frequent shaving, sweating, occlusive clothing, and certain medications. Folliculitis often has a good prognosis with appropriate treatment, although complications like scarring or hyperpigmentation may persist in severe cases. 

Examination may reveal erythematous, pustular, or even crusted lesions surrounding hair follicles, particularly in areas like the beard, scalp, thighs, or buttocks. Chronic or untreated cases may exhibit hyperpigmentation or keloid formation, which is especially noticeable in darker skin. 

Topical Antibiotics (e.g., Mupirocin 2% ointment): Applied twice daily for 7-10 days, effective for mild bacterial folliculitis.

Oral Antibiotics (e.g., Cephalexin 500 mg four times daily): For extensive or persistent cases, typically prescribed for 7-14 days.

Antifungals (e.g., Ketoconazole 2% cream): Suitable for fungal folliculitis; applied once daily for 2-4 weeks.

Benzoyl Peroxide Wash (5%-10%): Used daily to reduce bacterial colonization and inflammation.

Preventive Measures: Advising patients to avoid tight clothing, maintain proper hygiene, and use non-comedogenic skincare can reduce recurrence.