Folliculitis is inflammation of one or more hair follicles. It can occur anywhere on the skin.
Pseudofolliculitis barbae; Tinea barbae; Barber's itch
Folliculitis starts when hair follicles are damaged by rubing from clothing, blockage of the follicle, or shaving. Most of the time, the damaged follicles become infected with Staphylococcus (staph) bacteria.
Barber's itch is a staph infection of the hair follicles in the beard area of the face, usually the upper lip. Shaving makes it worse. Tinea barbae is similar to barber's itch, but the infection is caused by a fungus.
Pseudofolliculitis barbae is a disorder that occurs mainly in black men. If curly beard hairs are cut too short, they may curve back into the skin and cause inflammation.
Your health care provider can diagnose this condition by looking at your skin. Lab tests may show which bacteria or fungus is causing the infection.
Hot, moist compresses may help drain the affected follicles.
Treatment may include:
Folliculitis usually responds well to treatment, but may come back.
Apply home treatment and call your health care provider if your symptoms:
To prevent further damage to the hair follicles and infection:
Habif TM. Principles of diagnosis and anatomy. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 1.
Habif TM. Bacterial infections. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier; 2009:chap 9.
Pasternack MS, Swartz MN. Cellulitis, necrotizing faciitis, and subcutaneous tissue infections. In: Mandell GL, Bennett JE, Dolin R, eds. Principles and Practice of Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone; 2009:chap 90.
Reviewed By: Linda J. Vorvick, MD, Medical Director and Director of Didactic Curriculum, MEDEX Northwest Division of Physician Assistant Studies, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.