This disease usually occurs in the head, neck, buttocks, perianal region or other parts of the body, and tends to recur. It often occurs in many places, and its nature is stubborn and it is difficult to recover.
More common in adults. Occupational exposure to mineral oil, asphalt and coal tar, topical corticosteroid ointment, tar ointment treatment and wound wrapping treatment can all cause folliculitis. Patients with low resistance, taking immunosuppressants or diabetes are prone to this disease.
Clinical characteristics of folliculitis
First, the prone population: diabetes and anemia are more common.
Second, prone position: head, face, neck, limbs, buttocks.
. The hairy part of an adult; Children are mostly in the hair area, and after healing, they can leave a small bald spot.
Third, the characteristics of skin lesions: at first, it is red and full papules, then the top quickly develops into papular abscess, and then it dries and scabs, leaving no scar. Can appear in batches, do not blend with each other, and have hard packages.
Fourth, conscious symptoms: itching.
. Head folliculitis can stimulate hair roots and cause severe pain.
Five, after healing: easy to relapse, generally no scars after healing.
The prevention and treatment of folliculitis is mainly to pay attention to skin cleanliness, enhance the body's resistance, prevent trauma, and actively treat itchy skin diseases and chronic diseases.
Three therapies for folliculitis
1, systemic therapy: broad-spectrum antibiotics should be given when the skin lesions are extensive and there is obvious pus head. If possible, pus can be sent for culture and drug sensitivity test, which has important guiding significance for selecting more effective drugs.
2. Immunotherapy: Patients with chronic recurrent attacks can be subcutaneously injected with furuncle vaccine once a week. The initial dose was 0.5 ml, the second time 1.5ml, the third time 1.5ml, and the next time 2 ml. Generally, there is no adverse reaction after injection. If you feel unwell, such as fever, do not increase the dose, reduce it or stop using it if necessary.
3, local therapy: local skin lesions should not be washed with water to avoid scratches, skin lesions should be cut short hair, local disinfection, hair water to relieve itching and other drugs. Patients with exudation can be wet compressed with 0. 1% rivanol solution, 3 ~ 4 times a day, 20 minutes each time. After the inflammation is relieved, 2% chloramphenicol emulsion, 0.5% neomycin ointment and 3% tincture of iodine can be used externally.
Prevention:
1. Live a regular life, pay attention to rest, relax, reduce stress, and strive to improve sleep quality;
2. Eat less spicy, greasy or high-sugar diet; Eat more fruits and vegetables, increase vitamins, and keep the stool unobstructed.
3. Pay attention to cleanliness. Head folliculitis, don't scratch hard when washing your hair, and don't be too diligent when washing your hair, 3-4 times a week is appropriate;
4. Exercise actively to improve your body resistance.