Scalp Folliculities

if you’ve got stubborn red bumps on your scalp or hairline, you may be dealing with a case of scalp folliculitis, a condition caused by damaged hair follicles invaded by bacteria or fungus. While mild forms usually clear up on their own within two weeks, more severe cases can require prescription treatments. Learn the basics of how to address this condition and keep it from recurring.

How to identify scalp folliculitis
Folliculitis is the term for inflammation of the hair follicles and can occur anywhere that hair grows on your body. Since follicles are densest on the scalp, this is a common place for inflammation to develop. It typically shows up as itchy white or red pimples on the scalp or hairline.
Scalp folliculitis may resemble acne, but there is a difference between the two conditions: acne is a noninfectious form of folliculitis triggered by oil or bacteria clogging pores, while scalp folliculitis is usually due to infection with staphylococcus bacteria or a fungus that infects the damaged hair follicle.
Symptoms of scalp folliculitis vary according to the type of infection:

• Superficial folliculitis, which affects the upper part of the hair follicle, is characterized by:
  • Red, inflamed skin
  • Clusters of tender or itchy red bumps that develop around hair follicles
  • Pustules that open and crust over

• Deep folliculitis, which starts deeper in the skin and affects the entire hair follicle, includes the following symptoms:
  • A swollen bump or mass on the scalp
  • Pus-filled blisters
  • Possible scars once the infection is clear

A more severe form of folliculitis, known as “hot tub folliculitis,” results from coming into contact with bacteria that live in warm, wet areas – such as a hot tub that hasn’t been adequately chlorinated. Within several hours to two days of exposure to contaminated water, a rash of red, itchy round bumps will appear and may later develop into small pustules. This type of folliculitis can be painful and resistant to treatment.
Causes and risk factors
Scalp folliculitis can affect anyone, but some factors make people especially susceptible. Possible causes include:

• Chronic skin conditions, such as eczema or dermatitis
• Diseases that lower your resistance to infection, such as diabetes or HIV
• Friction from shaving
• Sweating

There are also forms of folliculitis that are non-infectious, such as those caused by oils and grease that clog up the hair follicles.
When folliculitis is severe, the inflammation is so intense that it can permanently destroy the hair follicles, leading to hair loss. Deep folliculitis can also result in scarring.
Home treatments
Mild folliculitis typically heals on its own within about two weeks, with the aid of over-the-counter antibiotic ointments if necessary. To treat scalp folliculitis at home, try the following options:

• A warm, moist compress or washcloth made with white vinegar can relieve itching and ease discomfort.

• Shampoo frequently using a medicated shampoo or one with tea tree oil – an essential oil that has effective germicidal and antibacterial properties, according to Dr. Andrew Weil.

• For a natural approach, Dr. Weil recommends supplementing your diet with GLA (gamma-linolenic acid) and omega-3 fatty acids, which promote healthy growth of skin, hair and nails.

• Apply an oatmeal lotion, or an over-the-counter hydrocortisone cream, to the affected area to ease itchy skin.

If the infection is more severe, you may need antibiotic or antifungal pills. See a doctor as soon as possible if: the infection spreads to other areas or keeps recurring; you develop a fever; or the infected area becomes red, swollen and painful.
Tips for prevention
Scalp folliculitis may not always be preventable, but there are ways to help stave off possible infection or keep it from recurring.

• Bathe or shower daily, especially after exercise.
• Use a clean towel every time you bathe, and don’t share towels with others.
• Avoid scratching the bumps.
• Don’t use oils on your skin and scalp, since they can trap bacteria in your hair follicles.
• Only use hot tubs that have been properly disinfected.

Scalp folliculitis can be a minor inconvenience or a more painful condition – either way, it helps to educate yourself on the basics of causes, treatment and prevention so you can keep your scalp clear and healthy.
 source: http://www.skincare-news.com/a-8489-Scalp_Folliculitis_The_Basics.aspx