Pagrindinis > Skin diseases > Folliculitis


Folliculitis Skin League Main
Folliculitis is an inflammation of the hair follicle. This is a common benign skin lesion. More severe forms may occur in patients with weakened immune systems.

Risk factors:

Folliculitis can be triggered by certain risk factors. Most can be prevented or reduced by lifestyle changes. These factors include:


    • carriage of S. aureus in the nasopharynx
    • follicular closure (e.g. using inappropriate skincare products)
    • sweating
    • digging
    • taking glucocorticoids (hormones)
    • shaving against the direction of hair growth
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Multicoloured lambskin chest
Folliculitis Skin Diseases 4
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Causes and classification of the disease

Folliculitis can be divided into superficial and deep. Superficial can be infectious or non-infectious.


Infectious :

    • bacteria: S. aureus, Pseudomonas spp.
    • fungi: derma****tes, Malassezia spp., Candida spp.
    • Herpes simplex, Varicella zoster
    • parasites: Demodex mites

Deep folliculitis is more finely dissected:

    • furunculus
    • sycosis (folliculitis barbae)
    • pseudofolliculitis barbae (beard pseudofolliculitis)
    • acne keloidalis
Clinical signs

Folliculitis is characterised by skin lesions:

  • rash: pustules (abscesses) and papules (palpable bumps on the skin)
      • related to the hair follicle
      • may itch
      • may be painful
      • hypo/hyperpigmentation, scarring of the skin may remain after recovery
      • may progress to furuncle, an inflammation of deeper tissues
  • localisation of lesions: face, beard, scalp, waist, buttocks, legs


The diagnosis of folliculitis is based on medical history and clinical data. In rare cases, additional tests may be needed to confirm the diagnosis, when history and clinical data are insufficient:

  • KOH microscopy – for suspected folliculitis caused by fungi or Demodex
  • microscopic examination, culture – if bacterial folliculitis is suspected
  • PCR – for suspected viral folliculitis


Treatment for folliculitis varies depending on the underlying cause. Common approaches include eliminating risk factors and applying general antiseptic solutions.

Specific treatments are tailored based on the type of causative agent:

  1. For bacterial causes, topical or systemic treatments may be used.
  2. In cases of a viral origin, localized or widespread antiviral measures might be considered.
  3. For fungal-related cases, either topical or systemic antifungal approaches can be appropriate.
  4. When folliculitis is due to parasitic causes, localized or systemic treatments are available.

    Advice and prevention

    For folliculitis, it is advisable to consult a dermatovenereologist, especially if the rashes are widespread or if the symptoms persist for several days. After the consultation, it is essential to follow exactly the treatment prescribed by your doctor.

    To prevent folliculitis it is advisable to:

    • avoid tight, chafing clothing
    • wash reusable cloth gloves
    • avoid shaving or shave carefully, change blades, choose the right tools
    • use only clean hot tubs, swimming pools
    If you are unsure about your diagnosis and over-the-counter remedies from the pharmacy don’t help – seek help from a dermatologist!
    The iDerma team will give you a consultation within 24 hours, explain your diagnosis and prescribe the necessary treatment remotely!
    Dermatologist Consultation Online
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    MB iDerma
    Fabijoniškės g. 99, Vilnius
    +370 671 33323


    MB iDerma
    Fabijoniškės g. 99, Vilnius
    +370 670 70822