Navigate Up

Men's Center - A-Z Index

#
Q
Y
Z

Print This Page

Folliculitis

Folliculitis is inflammation of one or more hair follicles. It can occur anywhere on the skin.

Alternative Names

Pseudofolliculitis barbae; Tinea barbae; Barber's itch

Causes, incidence, and risk factors

Folliculitis starts when hair follicles are damaged by rubing from clothing, blockage of the follicle, or shaving. Most of the time, the damaged follicles become infected with Staphylococcus (staph) bacteria.

Barber's itch is a staph infection of the hair follicles in the beard area of the face, 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 black men. If curly beard hairs are cut too short, they may curve back into the skin and cause inflammation.

Symptoms

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.

Signs and tests

Your health care provider can diagnose this condition by looking at your skin. Lab tests may show which bacteria or fungus is causing the infection.

Treatment

Hot, moist compresses may help drain the affected follicles.

Treatment may include:

  • Antibiotics applied to the skin (mupirocin) or taken by mouth (dicloxacillin)
  • Antifungal medications to control the infection

Expectations (prognosis)

Folliculitis usually responds well to treatment, but may come back.

Calling your health care provider

Apply home treatment and call your health care provider if your symptoms:

  • Come back often
  • Get worse
  • Last longer than 2 or 3 days

Prevention

To prevent further damage to the hair follicles and infection:

  • Reduce friction from clothing
  • Avoid shaving the area if possible (if shaving is necessary, use a clean, new razor blade or an electric razor each time)
  • Keep the area clean
  • Avoid contaminated clothing and washcloths

References

Habif TM. Principles of diagnosis and anatomy. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 1.

Habif TM. Bacterial infections. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 9.

Pasternack MS, Swartz MN. Cellulitis, necrotizing faciitis, and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 90.

Updated: 10/14/2012

Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.


©  UPMC | Affiliated with the University of Pittsburgh Schools of the Health Sciences
Supplemental content provided by A.D.A.M. Health Solutions. All rights reserved.

For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

UPMC is an equal opportunity employer. UPMC policy prohibits discrimination or harassment on the basis of race, color, religion, ancestry, national origin, age, sex, genetics, sexual orientation, marital status, familial status, disability, veteran status, or any other legally protected group status. Further, UPMC will continue to support and promote equal employment opportunity, human dignity, and racial, ethnic, and cultural diversity. This policy applies to admissions, employment, and access to and treatment in UPMC programs and activities. This commitment is made by UPMC in accordance with federal, state, and/or local laws and regulations.

Medical information made available on UPMC.com is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, UPMC.com is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

For UPMC Mercy Patients: As a Catholic hospital, UPMC Mercy abides by the Ethical and Religious Directives for Catholic Health Care Services, as determined by the United States Conference of Catholic Bishops. As such, UPMC Mercy neither endorses nor provides medical practices and/or procedures that contradict the moral teachings of the Roman Catholic Church.

© UPMC
Pittsburgh, PA, USA UPMC.com