Scalp folliculitis is a condition where hair follicles on the scalp become inflamed or infected, causing pimple-like pustules that can lead to scarring or hair loss. It can be caused by bacterial or fungal infections, skin conditions, or exposure to certain environments. Treatment includes using a mild shampoo or topical creams, and severe cases may require oral antibiotics. It is important to seek medical treatment if the condition does not improve or worsens.
Scalp folliculitis is a condition caused when hair follicles on the scalp become inflamed or infected and form pimple-like pustules. These pustules are often very itchy and can become sore, crusty areas on the scalp. In the event of a severe flare-up, the pustules can leave scars on the scalp or lead to hair loss if left untreated. Scalp folliculitis is sometimes referred to as “scalp acne” because it can mimic skin acne. Follicle inflammation and infection affect men and women.
There are a number of causes of scalp folliculitis. Bacterial or fungal infections, burrowing mites or parasites at the root of the hair follicles can lead to follicular infection and inflammation. Certain skin conditions such as eczema, dermatitis, an excessively oily scalp or a tendency to ingrown hairs can cause inflammation of the follicle. Overexposure to a spa, pool, or very humid weather can cause active flare-ups. People with medical conditions including diabetes, compromised immune systems, or those undergoing cancer treatments have been found to be more susceptible to scalp folliculitis.
Due to the intense itching and scratching that can occur, folliculitis is considered highly contagious. To help reduce the spread of this disease, great care should be taken in keeping hands properly sanitized. To avoid spreading or reinfecting yourself, always use a clean towel after each shampoo. Brushes and combs should never be shared with another person. At least once a week, combs and brushes should be soaked in soapy water and then left to dry naturally.
Mild cases of scalp folliculitis can usually be managed using a mild shampoo. Those with excessively oily scalps should select a shampoo containing zinc because this ingredient has been found to control the production of sebum and thus reduce the secretion of oil on the scalp. Shampoos containing ketoconazole and ciclopirox, which are antifungal agents, might also help control an outbreak if the follicle infection is bacterial or fungal. Severe or chronic scalp folliculitis may require the application of topical antibiotic creams or ointments or mild steroid creams. If the follicle inflammation is caused by a bacterial, fungal, or fungal infection, a doctor might prescribe more aggressive treatment that includes oral antibiotics or oral antihistamine medications.
The severity and duration of a scalp infection or inflammation will determine whether you seek medical treatment. If the condition does not clear up in a reasonable amount of time using shampoos containing zinc or antifungal ingredients, or gets significantly worse, it is imperative to see a doctor. Infections caused by bacteria or mites should be treated by a doctor who may prescribe oral antibiotics. Scarring may occur if a severe case of scalp folliculitis is left untreated. In order to prevent possible scarring or even hair loss, treatment should begin at the first sign of a scalp folliculitis outbreak.
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