Folliculitis is inflammation of one or more hair follicles. It can occur anywhere on the skin.
Pseudofolliculitis barbae; Tinea barbae; Barber's itch
Folliculitis starts when hair follicles are damaged or when the follicle is blocked. For example, this may occur from rubbing against clothing or shaving. Most of the time, the damaged follicles become infected with staphylococci (staph) bacteria.
Barber's itch is a staph infection of the hair follicles in the beard area, usually the upper lip. Shaving makes it worse. Tinea barbae is similar to barber's itch, but the infection is caused by a fungus.
Pseudofolliculitis barbae is a disorder that occurs mainly in African American men. If curly beard hairs are cut too short, they may curve back into the skin and cause inflammation.
Folliculitis can affect people of all ages.
Common symptoms include a rash, itching, and pimples or pustules near a hair follicle in the neck, groin, or genital area. The pimples may crust over.
Hot, moist compresses may help drain the affected follicles.
Treatment may include antibiotics applied to the skin or taken by mouth, or an antifungal medicine.
Folliculitis often responds well to treatment, but it may come back.
Folliculitis may return or spread to other body areas.
Apply home treatment and call your provider if your symptoms:
To prevent further damage to the hair follicles and infection:
Dinulos JGH. Bacterial infections. In: Dinulos JGH, ed. Habif's Clinical Dermatology: A Color Guide in Diagnosis and Therapy. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 9.
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Bacterial infections. In: James WD, Elston DM, Treat JR, Rosenbach, MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 14.
James WD, Elston DM, Treat JR, Rosenbach MA, Neuhaus IM. Diseases of the skin appendages. In: James WD, Elston DM, Treat JR, Rosenbach, MA, Neuhaus IM, eds. Andrews' Diseases of the Skin: Clinical Dermatology. 13th ed. Philadelphia, PA: Elsevier; 2020:chap 33.