There is a question that no one answered: how did your folliculitis appeared ? When ? During or after a particular period?
This might help to find the root cause... for me it's during a big anxiety period and emotional shocks (like my seborrheic dermatitis)..

Furthermore, some of you have pustules in the nose ? I sometimes have one small... and I read that it often was a signe of staph aureus but not sure.. could be gram negative too ?

A pustule in nose - yes, that's the staph aureus beast. You're most likely a staph carrier, and your acne is likely staph driven. Could also be gram negative. Overuse of antibiotics can cause gram negative bacterial infections.

17 minutes ago, Thinker5 said:

A pustule in nose - yep, that's the staph aureus beast. You're most likely a staph carrier, and your acne is likely staph driven. Could also be gram negative. Overuse of antibiotics can cause gram negative bacterial infections.

It's strange because I never use antibioics before my infection (except when I was very young). Furthermore accutane helped me a lot whereas this treatment can cause staph folliculitis...

Is BP good angainst staph aureus ?

34 minutes ago, Dsophobe said:

There is a question that no one answered: how did your folliculitis appeared ? When ? During or after a particular period?
This might help to find the root cause... for me it's during a big anxiety period and emotional shocks (like my seborrheic dermatitis)..

Furthermore, some of you have pustules in the nose ? I sometimes have one small... and I read that it often was a signe of staph aureus but not sure.. could be gram negative too ?

For me overuse of supplements containing artificial sweeteners (e.g. Acesulfam, Sucralose, Aspartam). There is a study stating that sweeteners can harm/destroy the gut flora.
Source: Abou-Donia et al (2008): Splenda [Sucralose] alters gut microflora and increases intestinal p-glycoprotein andcytochrome p-450 in male rats, in: Journal of Toxicology and Environmental Health 71 (21), p.14151429.
So in some way it has a similar effect as antibiotics and other medication.

1 hour ago, UsefulMath18 said:

@Lazy@MaiconThanks so much guys! I dont know why, maybe because my derm/GP constantly saying diet has nothing to do with acne, that I just never considered it but starting yester day I am completely cutting out any processed sugar & dairy. Have you guys seen a big difference since cutting those foods? What do you think the root cause is, if it isnt diet? Fungal? Bacteria? Is it worth going back to the GP and enquiring about these things?

These are so so itchy and I wanna burst them but I know thatll make I to so much he worse. I Just cant even face leaving the house when i have a flareup like this.

Yes, it helps a lot. With this diet I only get 1 new small pimple every day, mostly hidden in my beard.
I think another trigger is stress. Because when you are stressed, your body needs sugar and even when you don't eat suggar your body will take it from your body fat 🙂 So: Don't stress!

Not sure what the root cause is. Maybe fungal or gut issues (or both).

I'm afraid derms don't know anything about this. The last time I visited a derm was in 2003, because they only prescribe ointments and medication which do not help AT ALL.

On 8/8/2018 at 12:44 PM, Dsophobe said:

It's strange because I never use antibioics before my infection (except when I was very young). Furthermore accutane helped me a lot whereas this treatment can cause staph folliculitis...

Is BP good angainst staph aureus

.

29 minutes ago, Maicon said:

Yes, it helps a lot. With this diet I only get 1 new small pimple every day, mostly hidden in my beard.
I think another trigger is stress. Because when you are stressed, your body needs sugar and even when you don't eat suggar your body will take it from your body fat 🙂 So: Don't stress!

Not sure what the root cause is. Maybe fungal or gut issues (or both).

I'm afraid derms don't know anything about this. The last time I visited a derm was in 2003, because they only prescribe ointments and medication which do not help AT ALL.

Maicon - aren't you also taking antibiotics for SIBO? This could be the reason your pustules have lessened recently.

7 minutes ago, Thinker5 said:

38 minutes ago, Maicon said:

Yes, it helps a lot. With this diet I only get 1 new small pimple every day, mostly hidden in my beard.
I think another trigger is stress. Because when you are stressed, your body needs sugar and even when you don't eat suggar your body will take it from your body fat 🙂 So: Don't stress!

Not sure what the root cause is. Maybe fungal or gut issues (or both).

I'm afraid derms don't know anything about this. The last time I visited a derm was in 2003, because they only prescribe ointments and medication which do not help AT ALL.

Maicon - aren't you also taking antibiotics for SIBO? This could be the reason your pustules have lessened recently.

Well, the postules already lessened before the antibiotics. To be honest, I didn't notice any difference during the period I took antibiotics.

Mine just appeared when i was 14 or so, i just thought it was normal and then it just became normal. I would say my condition was mild and am trying to dig out some comparitive pictures.

i would say the 10% bp which i put only around my nose area is making a difference.

Here's an update.. I went to see a different dermatologist few days ago since my pustules got worse and multiplied.. I was given a cleanser and gel to use twice daily. and to be honest, I really see a difference, it does not feel dry nor my skin got irritated. I'm not sure if it's because of the  cleanser and gel that I am currently using or maybe because I stopped consuming meat for 3 days now. 

What do you guys think? Here's what it looks like NOW.. and with my previous photo Aug5,6, that was actually worse. 

14 hours ago, Dsophobe said:

There is a question that no one answered: how did your folliculitis appeared ? When ? During or after a particular period?
This might help to find the root cause... for me it's during a big anxiety period and emotional shocks (like my seborrheic dermatitis)..

Furthermore, some of you have pustules in the nose ? I sometimes have one small... and I read that it often was a signe of staph aureus but not sure.. could be gram negative too ?

 

For me, I think this started when I switched jobs back in 2015 and I was dealing with so much stress then after a few months BOOM, pustules started to show up on my chin and spread on my head.. first GP I went, was told I was eating too much protein..

Looks better for sure Lazy! Can I ask what the gel/cleanser is you are using..
my skin is definitely less tight today I must be 3 days in now without moisturiser, still got pustules as normal though but the texture of my skin in general is way better, matte to look at which Im guessing is the drying of the Nizoral.. however Im thinking perhaps this is a mixture of fungal and bacterial acne. Im pretty sure I read somewhere that Sulphur is good for both, il be able to get my hands on it Wednesday.. if that doesnt have any progress il be jumping on the BP wagon!

1 hour ago, jcbdigger365 said:

Looks better for sure Lazy! Can I ask what the gel/cleanser is you are using..
my skin is definitely less tight today I must be 3 days in now without moisturiser, still got pustules as normal though but the texture of my skin in general is way better, matte to look at which Im guessing is the drying of the Nizoral.. however Im thinking perhaps this is a mixture of fungal and bacterial acne. Im pretty sure I read somewhere that Sulphur is good for both, il be able to get my hands on it Wednesday.. if that doesnt have any progress il be jumping on the BP wagon!

@jcbdigger365thanks! The cleanser I am using right now is a Physiogel hypoallergenic Daily Moisture Therapy and Metronidazole gel .75%.

I'm on my 3rd day, I noticed the small pustules from 3 days ago did not grow bigger like it usually does like the past few weeks and also my skin does not feel tight.

About the Sulfur soap and gel, I was also using that 2 weeks ago until last week.. I noticed first 4 days were great, I did not see my pustules multiply and it reduced redness but then on the 5th day, the pustules where I thought was gone, grew back BIGGER and multipled.. also my skin was PEELING badly and even after washing with just water, it felt really irritated that I decided to stop using it. That's when I decided to just go to another dermatologist and was given a new cleanser and gel to try.. I am quite happy with the result as of the moment.. After this, I am also going to switch to BP wash and gel for maintenance.. and maybe slowly go back to my regular diet.

Will update again in a few days and see how this goes..

Yes please keep us posted I guess that is prescription gel you are using Im in the UK and its not always easy getting things without prescription. I feel like the condition of my skin is way better overall and the pustules are less inflamed a lot let redness around the outside but they are just as big, Either the Nizoral is clogging my pores or its bringing everything to the surface, will continue for another week until my sulphur soap arrives. I sort of have a hunch I have both fungal and bacterial, as the itchy pustules have stopped since using Nizoral and my forehead is completely cleared however around the mouth I still have the pustules so I think I may of beaten the fungal but struggling with the bacterial using Nizoral, just wish I didnt have to wait a week to get it!

15 hours ago, Silverinca said:

Mine just appeared when i was 14 or so, i just thought it was normal and then it just became normal. I would say my condition was mild and am trying to dig out some comparitive pictures.

i would say the 10% bp which i put only around my nose area is making a difference.

And so do you continue continue to combinate BP and sulfur soap ?

Sulfur soap is to hard for my face skin ! I used it firstly just around the mouth. It was ok. But the third day, I decided to use it all around my face aftershaving(BUT my skin is very thin and fragile once shaved because of my dermatitis !).. It was a fatal error : during 3 day my skin was very dry andshe scratched a lot .. it triggered itching crises that I had before..horrible.
However, sulfur soap looks like very usefull to my the nape of the neck (I often have folliculitis on it..) so I don't regret to bought this product.. and perhaps will I try again the soap on my face but very localy and not after shaving.

So I need to find a BP product.. But on internet it's difficult to find some products containing BP on french websites ! I think I need to go to the pharmacy..

Just an updated my skin texture has steadily improved day by day, today is the best I™ve seen my skin for a long time now after what felt like a purging period.. here™s my latest picture, I™m not going to get to excited but definitely heading in the right direction. It has taken 4/5 days for my skin to get used to not Moisturizing and the tightness has completely subsided today, all I™m doing is Nizoral for 20-30 seconds morning and night, anymore than that and the irritation is way to much and causes more pustules, I™m also not rubbing just laying on face and to make sure I™ve covered everywhere. Will keep all posted, has any one found sulphur soap more irritating and drying than Nizoral from memory as I want to add this in next week. 
Picture from 5/6 days ago and now for reference. Also I have not popped one pustule I have let them heal on there own albeit ungodly looking but is paying off in the long run. I actually think the drying of my skin/oil is preventing and blocked pores I™m not 100% but my skin is a lot dryer now. Any way il keep you posted as it may just be a lucky skin day. 

Also, crucially what Ive found is I have to let my face air dry to retain as much moisture as possible even if I pay dry my face doesnt like it! I ultimately believe we all got this way due to a damaged moisture barrier Ive been reading so much on the subject and Im convinced thats the issue. So its a case of keeping clean but doing it as gently as possible.

Seems I've finally found people with the type of acne I have.thought i was the only one. Its been a long time. 5 Years now. It started after a course of antibiotics for me after dental surgery, and has gotten progressively worse over the years. Im in my mid 20's. Never had acne growing up.

I recently got a blood test done which showed everything to be normal except for high cholesterol and my triglycerides were super high. I also have some digestive issues, anyone else?

I'll upload pics soon.

6 hours ago, jcbdigger365 said:

Just an updated my skin texture has steadily improved day by day, today is the best I™ve seen my skin for a long time now after what felt like a purging period.. here™s my latest picture, I™m not going to get to excited but definitely heading in the right direction. It has taken 4/5 days for my skin to get used to not Moisturizing and the tightness has completely subsided today, all I™m doing is Nizoral for 20-30 seconds morning and night, anymore than that and the irritation is way to much and causes more pustules, I™m also not rubbing just laying on face and to make sure I™ve covered everywhere. Will keep all posted, has any one found sulphur soap more irritating and drying than Nizoral from memory as I want to add this in next week. 
Picture from 5/6 days ago and now for reference. Also I have not popped one pustule I have let them heal on there own albeit ungodly looking but is paying off in the long run. I actually think the drying of my skin/oil is preventing and blocked pores I™m not 100% but my skin is a lot dryer now. Any way il keep you posted as it may just be a lucky skin day. 

Wow that sure does look better.. question, have you tried using H&S antidandruff shampoo? I did that few months ago while giving a break from Nizoral.

I actually tried H&S but that was way to strong and left my skin so tight and red, Nizoral has been much gentler but its finding a balance of how long to leave it on, Im trying to stick to 30 seconds which is enough to cover my face and then basically wash off again, did you find sulphur soap more drying or irritating than Nizoral, Im slightly worried about ruining progress but really want to try it..? So far still no new pustules Im just waiting for the existing one to dissipate which seems to take a few days.. keeping my skin bone dry has reduce the clogs so much. My only fear is when I go home the humidity is so high compared to where I am at the moment, but time will tell.. really keen to get the sulphur soap going though for its antibacterial properties. Overall Im really happy with the progress so far, seems like it was moisturiser that was contributing to the acne also perhaps feeding the fungal even though it was oil free.. Id take bone dry skin over acne any day of the week.

@jcbdigger365Which moisturizer did you use?
I didn't try the sulphur soap, just the De La Cruz sulphur ointment and it really dried out my skin. But perhaps it's stronger, because you are supposed to leave on the ointment for 10 minutes.

@MaiconI used Cerave PM which was so many peoples holy grail... I have used so many moisturisers over the years Ive lost track. Yet to find one that actually works hence giving up. Ive literally just developed to pimples right on my lip line I accidentally had some toothpaste drip down my mouth this morning... coincidence hmmmm so of course Ive bought some SLS free paste now also.. never ending battle get over one hurdle and then hit another Jesus Christ got to laugh though or il just get annoyed..

Yeah, it's really complicated. Cerave PM apparently has esters which may feed the fungal. Source: [Edited link out]

@MaiconWow I didnt realise that! Its a mine field trying to find a good moisturiser.. Im going to try without moisturiser for the time being as it seems to be working well now Im past the initial tightness.. trial and error stage I feel like Im getting closer now than I have in the past. Im really hoping the addition of sulphur soap will banish this forever..

@jcbdigger365 your folliculitis looks like fungal. But did you use by the past some antibiotics solutions (like BP,Erythromycin or something like that) which was efficient ?

@deades : I have digestive issues too....

Concerningmoisturiser, Embryolisse Filaderm Emulsion is quite good according to my experience.

No I never used any antibiotics.. I noticed because Im being so gentle Im not getting rid of dead skin, I have read though that sulphur actually exfoliates the skin also.. I feel like I might end upgetting clogged pores because of the dead skin at some point.