Folliculitis is an inflammation of the pilosebaceous follicle.
Pustule formation usually suggests an infective origin, most commonly staphylococci, but chemical causes are common.
Chemicals can include topical tar derivatives and oils. Idiopathic folliculitis of the scalp can be related to stress. Eosinophilic folliculitis may be seen in patients infected with HIV.
When of bacterial origin, treatment should be directed at the offending organism whether Gram-positive, Gram-negative or yeast. Systemic agents are usually required.
When secondary exposure to chemicals, reduction in the exposure is required for clearing.
Folliculitis secondary to yeast, Pityrosporum folliculitis, responds well to oral ketoconazole 200 mg daily for 5 to 10 days.
Idiopathic folliculitis usually responds well to tetracycline 0.5-1 gram daily or minocycline 100 mg daily or bid.
Folliculitis NYC Treatment Center in New York, NY headed by Board Certified Dermatologist Dr. Gary Rothfeld with a New York City office in Manhattan, New York providing expert skin care, dermatology, and cosmetic dermatology services. A Park Avenue practice with an international reputation in general, cosmetic, and surgical dermatology.
Dr Gary sees every patient himself and believes in personalized care. The Doctor does not employ any physician assistants, nurse practitioners, or other physician substitutes to do his treatment. He sees every patient himself at every visit.
A significant percentage of my Dermatology Conditions are diagnosed on listening to medical history of the patient alone, a further percentage on examination and the remainder on further investigation and my patients teach me the rest. It is clear to me that history and examination skills remain at the very core of my dermatology practice. Older Dermatologists like myself rely on history and physical to a greater degree than the younger dermatologists. I think that the pendulum has swung too far towards all these cosmetic procedures where the younger dermatologists are just doing cosmetic procedures and not listening to their patients. This is an important point because if the Dermatologist does not spend enough time with the patient the cosmetic procedures will not work
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New York Dermatology Board Certified Dermatologist 30 E. 60th St. Ste. 805 (Park Avenue) New York, NY 10022