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JS7888

Folliculitis

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Okay so I've been reading a lot about folliculitis and am starting to think that this is what I have. I recently started using benzoyl peroxide and clindamycin topical gel for about a month, which is when I started noticing these tiny whitehead looking things around my mouth and laugh lines. They dont have solid plugs that come out when they pop but a little clear fluid. They DO NOT come in clusters and I usually get around 4 a day( Usually not really close together). After they pop I put clindamycin on them and they usually completely disappear within a couple days. However its like a never ending cycle and everytime I wake up I get maybe 2 or 3 more. I went to the doctor who said it was whiteheads. I was wondering if anyone had experienced folliculitis and knew if my case sounded like theirs. I've read that they usually occur on the back, chest, and forehead. I'm confused because I dont have it in any of these places. They are also not inflamed and do not feel hard to the touch. You can barely see them or feel them, only if you know exactly where they are. Also I'm not sure if the Benzoyl peroxide face wash is just causing my skin to be very dry, thus causing real whiteheads(clogged pores). I usually dont moisturize and thought that maybe its my dry skin thats causing my pores to become clogged. I'm really lost and feel like my doctor didnt really do a thorough examination of my face.

If anyone has information about folliculitis and its symptoms please share your knowledge/experience. I would be truly grateful. Thank you!

PS I also read that folliculitis usually looks like papules and pustules rather than small comedones. If this is true than I must not have folliculitis because they are really tiny and dont feel like they have something under the skin. I also know that since its fungal, doesnt that mean that the clindamycin shouldn't help? But in my case it does. Let me know what you think.

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Hello, I think you may have a slight problem with folliculitis. I have suffered from it ever since a antibiotic treatment I had two years ago. However I do not have it on my face, I get it on my thighs and arms mostly. My folliculitis starts out as a red bump slightly swollen but not hard or very raised and they often itch and then after a few days or so a tiny white head forms in the middle of it and inside of it is clearish white liquid. There are many types of folliculitis and mine is the least severe, similair to razor bumps. It is important to note that if you do have folliculitis you are dealing with Staph bacteria in your follicules and you need to be careful not to spread it around which means if you pop these disinfect them right away. You could try using over the counter bacitracin cream and washing your face with anti dandruff shampoo that contains zinc both of these things have cleared my folliculitis outbreaks. Good Luck!

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Bacterial folliculitis can have staph but pityrosporum folliculitis is caused by a fungus.

If I were you, I would try treating it as pityrosporum foll. for a week and see if it makes a difference. Then you will have your answer. I had it on my forehead; I had treated it as acne for MONTHS and once I discovered it was actually a fungus, I had it cleared up within a week. I used Nizoral shampoo and rubbed it on dry skin and let it sit for about 15-20 mins then rinsed, dried off gently and put Lotrimin cream on it.

Now I am just using the Nizoral once every 3 days as maintenance.

Mine looked like flesh colored spots all over the forehead. You couldn't see them unless it was in a certain light or if I turned at a certain angle. Then it looked like the surface of a basketball. The only thing that would come out of them was some clear fluid.

Good luck to you and I hope you get it figured out.

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If you don't have success in clearing this up soon, I'd recommend a follow-up visit to the doctor and a referral to specialist/dermatologist.

While this board is great and has given me a lot of good advice, caution is in order when it comes to self-diagnosing and relying upon advice from non-experts like us who can't see the situation or know the whole history.

As others have pointed out, there are many kinds of folliculitis -- those related to a fungus (such as Pityrosporum follicultis) and those related to bacteria (particularly follicutlis barbae, which is caused by Staphylococcus aureus (staph)). The treatments are also completely different -- anti-fungals like nizoral won't work on staph; anti-bacterials won't work on fungus. Staph related folliculitis, if not treated properly -- particularly if you spread or aggravate the cysts by scratching-- can have serious complications.

So again, be an informed patient, educate yourself on this board and be armed for your next visit to the doctor with focused questions ("Dr., I'm concerned that these might not be just whiteheads but a form of folliculitis. I understand this condition can be fungal or bacterial in origin. Can you evaluate this possibility or refer me to a dermatologist?).

Just my 2 cents...

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