What Is Folliculitis Alopecia? Symptoms, Causes And 2 Ways To Treat

Folliculitis is inflammation of one or more hair follicles. It is common and can affect people at any age. Severe infections can cause permanent hair loss and scarring, the result of active destruction of the hair follicle and the follicle is irreparably damaged and replaced by fibrotic tissue.


What Is Folliculitis Alopecia? Symptoms, Causes And 2 Ways To Treat

Folliculitis is characterised by redness and swelling and pustules around the hair follicle. In the early stages the hair fiber may still be present in the middle of the folliculitis, but as the folliculitis progresses the hair often falls out and leaves behind a scar, causes a little bald patches.

Any hairy region may be involved and it is usually confined to the scalp but can involve other sites including the beard, underarm and pubic hair, lower legs, thighs and arms.


1. Infectious :

It often with Staphylococcus Aureus or other Bacteria. They can attack the hair follicles and become inflamed.

2. Non-infectious

  • Excessive friction of the hair follicles with clothes can be a reason for them to get inflamed.
  • Shaving with a blunt razor, can do massive damage to your hair follicles. They will become visibly red, inflamed and itchy.
  • Sweat, dirt, grime can clog the pores of the skin, leading to inflammation and infection of the hair follicles.
  • Oils and greases, when applied to the skin, clog up the hair follicles and lead to non-infectious folliculitis.
  • Diseases such as diabetes which reduces the strength of the immune system also manifest themselves as folliculitis.
  • In case of prior infections or cuts, the damage can spread to the nearby hair follicles.


Distinguishing primary Folliculitis Alopecia from Alopecia Areata, can initially be difficult. Because primary Folliculitis Alopecia causes hair follicles to fill up with skin cells, areas of the skin on your scalp can be especially smooth and shiny. Further confusion can arise as there are often a few hairs interspersed throughout the affected area. And unlike Alopecia Areata, it often causes visible scalp inflammation and in certain cases, tufting of the hair, severe scaling and pustules.

  • It often start as a rash or a set of slowly evolving red lumps on the skin, usually on hairy areas.
  • It may be pain-free but the hair follicles itch like crazy.
  • You have pimple-like formations all over your skin with a hair in the middle.
  • These inflamed hair follicles tend to burst with blood or pus oozing out of them.


1. In Milder Cases, Folliculitis Will Recover On Its Own In 1 - 2 Weeks

The treatment of simple folliculitis involves applying moist heat, salt-water compresses and topical antibiotics. This approach is generally sufficient, and oral antibiotics are seldom needed. Folliculitis does not generally leave scars, but the bump may be present in some form for an extended period of time. Usually the skin is completely normal after a month or so.

2. If The Infection Remains After 3 Weeks, Oral Antibiotic Or Antifungal Pills Is Necessary

Oral antibiotics such as minocycline, tetracycline , rifampicin , clindamycin , fusidic acid, ciprofloxacin and dicloxacillin have all been tried with varying results from patient to patient.
In some severe forms, addition of an oral corticosteroid may be necessary.
Oral isotretinoin has also been tried with some success.