Folliculitis Rubra refers to inflammation of the hair follicles, which are the tiny pockets from where our hair grows. “Rubra” means red, highlighting the reddened appearance of the affected skin area.
Types:
- Superficial Folliculitis: Affects only the top part of the hair follicle.
- Deep Folliculitis: Goes deeper and affects more of the hair follicle.
Causes:
- Bacterial Infections: Often from a bacteria called Staphylococcus.
- Fungal Infections: Yeasts or fungi infecting the follicle.
- Viral Infections: Certain viruses can also be the culprits.
- Ingrown Hairs: When hairs grow back into the skin.
- Friction: From tight clothing.
- Excessive Sweating: Moisture can make it easier for bacteria to grow.
- Shaving: Especially if done improperly.
- Chemical Irritation: From products or cosmetics.
- Oils and Creams: That block the hair follicles.
- Hot Tubs: Dirty tubs can spread bacteria.
- Skin Conditions: Like acne or dermatitis.
- Weak Immune System: Making you more susceptible.
- Medications: Some drugs can make skin more vulnerable.
- Chronic Illness: Like diabetes.
- Heat and Humidity: Creates a breeding ground for microbes.
- Plastic Dressings: On wounds can cause it.
- Cosmetic Procedures: Like waxing or laser treatments.
- Injuries: Scratches or surgical wounds.
- Using Shared Items: Like towels or razors.
- Exposure to Contaminated Water.
Symptoms:
- Red Bumps: Often around hair follicles.
- Pus-filled Blisters: That break open and crust over.
- Itchy Skin: It can be mildly to intensely itchy.
- Tender Skin: Sore to touch.
- Swelling: In the affected areas.
- Pain: Especially when there’s an infection.
- Burning Sensation: On the skin.
- White-headed Pimples: Around hair follicles.
- Clusters of Blisters: That burst and ooze.
- Scarring: Especially if scratched or untreated.
- Dark Spots: They can remain after healing.
- Recurring Rash: In the same area.
- Hair Loss: In severe or chronic cases.
- Warm Skin: Over the affected area.
- Reddened Skin: Even when bumps aren’t visible.
- Flaky or Scaly Skin: Around the bumps.
- Painful or Tender Lumps: Beneath the skin.
- Fluid Oozing: From the bumps.
- Fever: In severe cases.
- Fatigue: Especially if it’s a widespread infection.
Diagnostic Tests:
- Physical Examination: Checking the affected area.
- Culture Test: Taking a sample to identify the bacteria or fungus.
- Biopsy: A small skin sample for detailed analysis.
- Blood Test: To rule out or confirm related conditions.
- Allergy Testing: If suspected to be due to an allergic reaction.
- Patch Test: For skin reactions.
- Microscopic Exam: Of the pus or tissue.
- Dermoscopy: Using a special magnifying tool.
- Wood’s Lamp Examination: UV light to check for fungal infections.
- Tzanck Test: To check for viral infections like herpes.
- Potassium Hydroxide Test: For fungal examination.
- Gram Stain: To identify bacteria.
- Cytology: Examining cells from the lesion.
- Fungal Culture: To specifically identify the fungus.
- Herpes Virus Test: If herpes is suspected.
- HIV Test: If immune suppression is suspected.
- Blood Sugar Test: To check for diabetes.
- Wound Swabbing: To collect samples.
- Imaging: Rarely, for deep infections.
- Immune System Tests: To see if it’s weakened.
Treatments:
- Antibiotics: For bacterial infections.
- Antifungal Creams: For fungal infections.
- Warm Compress: To reduce pain and promote draining.
- Corticosteroid Cream: To reduce inflammation.
- Lancing: For large or painful bumps.
- Antihistamines: For itching.
- Pain Relievers: Like acetaminophen or ibuprofen.
- Avoiding Irritating Substances: If chemical irritation is a cause.
- Laser Hair Removal: Reduces chances of ingrown hairs.
- Washing with Antiseptic: To prevent spread.
- Over-the-counter Acne Treatments: If it’s related to acne.
- Medicated Shampoos: For fungal infections on the scalp.
- Antiviral Medications: If caused by a virus.
- Moisturizers: To prevent dryness.
- Isotretinoin: For severe chronic cases.
- Light Therapy: Using UV rays.
- Surgical Removal: For recurrent or large lesions.
- Electrocautery: Burning off affected areas.
- Cryotherapy: Freezing off lesions.
- Vinegar Soaks: Mild cases may benefit from its antiseptic properties.
- Witch Hazel: Natural astringent.
- Tea Tree Oil: Natural antiseptic.
- Aloe Vera: For soothing.
- Neem: Natural antibacterial agent.
- Turmeric: Anti-inflammatory properties.
- Epsom Salt Baths: Can help with healing.
- Oatmeal Baths: To soothe itching.
- Avoiding Shaving: Until the area heals.
- Avoiding Tight Clothing: To reduce friction.
- Hydrocortisone Cream: Over-the-counter option to reduce inflammation.
Drugs:
- Mupirocin: Antibiotic ointment.
- Clotrimazole: Antifungal cream.
- Fluconazole: Oral antifungal.
- Acyclovir: For viral infections.
- Benadryl: Over-the-counter antihistamine.
- Ibuprofen: Pain and inflammation reliever.
- Doxycycline: Oral antibiotic.
- Cephalexin: Antibiotic.
- Terbinafine: Antifungal.
- Griseofulvin: Oral antifungal.
- Retapamulin: Topical antibiotic.
- Clindamycin: Antibiotic.
- Ketoconazole: Antifungal shampoo.
- Tretinoin: For related acne issues.
- Benzoyl Peroxide: Over-the-counter acne treatment.
- Salicylic Acid: Over-the-counter acne treatment.
- Neosporin: Over-the-counter antibiotic ointment.
- Betamethasone: Corticosteroid.
- Prednisone: Oral corticosteroid.
- Hydroxyzine: Prescription antihistamine.
In simple terms, Folliculitis Rubra is an inflammation of hair pockets on our skin, which can be caused by various things like bacteria, friction, or even hot tubs. If you notice red bumps, itching, and other discomforting signs on your skin, you might be dealing with this condition. It’s always best to see a doctor for a proper diagnosis. Fortunately, there are many treatments available, from creams to medications, to help manage and alleviate the condition.
Disclaimer: Each person’s journey is unique, always seek the advice of a medical professional before trying any treatments to ensure to find the best plan for you. This guide is for general information and educational purposes only. If you or someone are suffering from this disease condition bookmark this page or share with someone who might find it useful! Boost your knowledge and stay ahead in your health journey. Thank you for giving your valuable time to read the article.