Folliculitis Homeopathic Remedies
Hidradenitis suppurativa (HS) is recurrent inflammation of the apocrine sweat glands, particularly those of the axilla, genital, and perianal areas. It can result in obstruction and rupture of the duct and secondary infection. The lesions generally drain spontaneously, with formation of multiple sinus tracts and with hypertrophic scarring. Although not initially infected, the lesions frequently become secondarily infected. Often, patients with HS also are afflicted with acne, pilonidal cysts, and chronic scalp folliculitis thus, giving rise to the term follicular occlusion tetrad.
The scalp can be involved in any skin disease, but most commonly in psoriasis and seborrhoeic eczema. A mild degree of scaling from accumulation in skin scales is so common as to be normal (dandruff). Increased accumulation of scales is seen in seborrhoeic dermatitis in which pityrosporum organisms may play a part. Sometimes masses of thick adherent scales develop in pityriasis amiantacea, usually due to psoriasis. Eczema and contact dermatitis can also involve the scalp. Folliculitis decalvans Tinea capitis
Several different techniques may be used, according to the characteristics of the individual patient (Table 2). Shaving does not increase the rate of hair growth, as erroneously thought by many patients, but it leaves an unpleasant sharp stubble. Therefore, other procedures are generally preferred. Waxing and plucking may be effective, but there is the risk of folliculitis and in-grown hairs. Furthermore, skin irritation may sometimes induce a paradoxical increase in local hair growth. In addition, these complications may subsequently make more difficult the removal of hairs by electrolysis. For these reasons, several authors strongly discourage their use, in particular in women with clinically significant degrees of hirsutism.
Other forms of local bacterial infection include impetigo, folliculitis, and furuncles (boils). These conditions are caused by Staphylococcus aureus and in the case of folliculitis or boils the infection is associated with a local abscess. Staph. aureus colonises the anterior nares or perineum of normal people it also commonly colonises eczema and may cause an acute exacerbation of atopic dermatitis. Impetigo is a superficial infection of the skin of which there are two forms. In the non-bullous form the affected skin is covered with crusts. Both staphylococci and streptococci are responsible. However the bullous form which presents with blisters is due to staphylococci. Folliculitis, an inflammation of the hair follicle, is commonly caused by Staph. aureus. Infection of the scalp or beard hair (sycosis barbae) is uncommon but may become chronic. Abscess formation around the hair follicles may result in furuncles or boils where several furuncles coalesce the lesion is known as a...
Eflornithine is an irreversible inhibitor of ornithine decarboxylase. This enzyme catalyzes the conversion of ornithine to polyamines, which are involved in the regulation of cell growth and differentiation in several tissues. The enzyme is modulated by androgens and takes part in the physiology of hair growth, regulating the proliferation of matrix cells in the hair follicle. Studies have indicated that blockade of this enzyme activity in hair follicles slows hair growth, and the drug has recently been licensed for topical treatment of facial hirsutism. Percutaneous absorption of the drug is negligible. In short-term clinical studies, eflornithine 11.5-15 cream was better than placebo in reducing hair growth in women with unwanted facial hair, as demonstrated by objective and subjective methods (11). However, hair growth returned to pretreatment rates within a few weeks after stopping treatment. Mild irritation and folliculitis may affect the skin with treatment. Anecdotal evidence...
Topical steroids provide effective anti-inflammatory treatment but have the disadvantage of causing atrophy (due to decreased fibrin formation) and telangiectasis. They are readily absorbed by thin skin around the eyes and in flexures. On the face the halogenated steroids produce considerable telangiectasia, so nothing stronger than hydrocortisone should be used (except in lupus erythematosus). They can cause hirsutism and folliculitis or acne. Infection of the skin may be concealed (tinea incognita, for example) or made worse.
Any type of opportunistic infection is more likely in patients with AIDS and will generally be more severe. An itching, inflammatory folliculitis occurs in many cases. The cause is unknown, but it is possible that Demodex spp. play a part. Pityrosporum organisms occur more frequently and may produce widespread pityriasis versicolor on the trunk or extensive folliculitis.
The mainstay of treatment is oxytetracycline, which should be given for a week at 1 g daily then 500 mg (250 mg twice daily) on an empty stomach. Minocycline or doxycycline are alternatives that can be taken with food. Perseverance with treatment is important, and it may take some months to produce an appreciable improvement. Erythromycin is an alternative to tetracycline, and co-trimoxazole can be used for Gram negative folliculitis. Tetracycline might theoretically interfere with the absorption of progesterone types of birth control pill and should not be given in pregnancy.
Other common dermatoses that respond to antifungal creams (for example Clotrimazole) include tinea cruris and pedis and candidiasis. Folliculitis often responds to 1 hydrocortisone and antifungal cream, impetigo to antibiotics and shingles to aciclovir, valaciclovir or famciclovir. Recurrent perianal or genital herpes may become more troublesome, with recurrences lasting longer and occurring more frequently if this persists for more than 3 months it is considered an AIDS-defining opportunistic infection (Group IVC1). Treatment with long-term acyclovir, valaciclovir or famciclovir suppression is often required. Genital and perianal warts are common, difficult to treat and frequently recurrent, and high-grade cervical dysplasia is seen more often in HIV-infected women.