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
Multicoloured moth back
Multicoloured lambskin chest
Folliculitis Skin Diseases 4
Multicoloured hellebore close

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: dermatophytes, 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


The treatment of folliculitis is based on the causative agent. Common treatments: removal of risk factors and use of antiseptics (Octenicept, Octenisan).

Specific treatment:

    • bacterial – local or systemic antibiotics
    • viral – local or systemic antivirals (acyclovir)
    • of fungal origin – topical or systemic antifungal drugs
    • demodex parasitic origin – local or systemic (ivermectin)

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
Our other articles
Pityriasis rosea

Pityriasis rosea

An acute, self-limiting, exanthematic skin disease that manifests as itchy, somewhat inflammatory, scaly rashes, usually on the torso, chest, and upper limbs.

read more
Peeling skin syndrome

Peeling skin syndrome

Peeling skin syndrome is a genetic disorder characterized by constant peeling of the skin. The disease appears from birth or in the first year of life
lasts a lifetime

read more
Mycosis Fungoides

Mycosis Fungoides

The most common primary skin T-cell lymphoma (cancer of the blood). Mycosis Fungoides is characterized by three main stages, several of which may exist at the same time

read more


MB iDerma
Fabijoniškės g. 99, Vilnius
+370 671 33323


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