Small pus-filled lesions form around hair follicles in folliculitis. This image displays a close-up of folliculitis with one of the lesions being pus-filled. This image displays red bumps centered on hair follicles typical of folliculitis. The lesions of scalp folliculitis can be very itchy, resulting in scratching and scabs. Each of the small red bumps or pus-filled lesions of folliculitis start around a hair follicle. This child has several lesions on the cheeks, which look similar to acne. In folliculitis, skin lesions can simply appear as red spots or bumps.  Red bumps (non-pus-filled) centered on the hair follicle are typical of folliculitis.
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Folliculitis  A parent's guide to condition and treatment information

Picture of Folliculitis: Small pus-filled lesions form around hair follicles in folliculitis. Divider line
Small pus-filled lesions form around hair follicles in folliculitis.
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Self-Care Guidelines
To prevent folliculitis, have your child try the following:
  • Avoid tight clothing, especially during exercise.
  • Wash athletic clothing after each use.
To help clear up mild folliculitis:
  • Use an antibacterial soap.
  • Apply hot, moist compresses to the affected area.
  • Use an over-the-counter corticosteroid lotion (cortisone) to help soothe irritated or itchy skin.
  • Wash towels, washcloths, and bed linens often.
  • Wear loose-fitting clothes.

When to Seek Medical Care
See your child's doctor or a dermatologist if self-care measures do not heal the condition within 2 or 3 days, if symptoms keep coming back, or if the infection spreads to larger areas or appears somewhere else on the body.

Tell your child's doctor about any recent exposure to hot tubs, spas, or swimming pools, because a less common form of folliculitis may be caused by bacteria living in (contaminating) these water sources.

If your child is currently being treated for a skin infection that has not improved after 2–3 days of antibiotics, return to the child's doctor.

Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) is a strain of "staph" bacteria resistant to antibiotics in the penicillin family, which have been the cornerstone of antibiotic therapy for staph and skin infections for decades. CA-MRSA previously infected only small segments of the population, such as health care workers and persons using injection drugs. However, CA-MRSA is now a common cause of skin infections in the general population. While CA-MRSA bacteria are resistant to penicillin and penicillin-related antibiotics, most staph infections with CA-MRSA can be easily treated by health care practitioners using local skin care and commonly available non-penicillin-family antibiotics. Rarely, CA-MRSA can cause serious skin and soft tissue (deeper) infections. Staph infections typically start as small red bumps or pus-filled bumps, which can rapidly turn into deep, painful sores. If you see a red bump or pus-filled bump on your child's skin that is worsening or showing any signs of infection (ie, the area becomes increasingly painful, red, or swollen), see the child's doctor right away. Many people believe incorrectly that these bumps are the result of a spider bite when they arrive at the doctor's office. Your doctor may need to test (culture) infected skin for MRSA before starting antibiotics. If your child has a skin problem that resembles a CA-MRSA infection or a culture that is positive for MRSA, the doctor may need to provide local skin care and prescribe oral antibiotics. To prevent spread of infection to others, infected wounds, hands, and other exposed body areas should be kept clean and wounds should be covered during therapy.
Last Modified: 22 Dec 2008