Is seborrheic dermatitis folliculitis a disease?

There are pores on our skin. For people with more body hair, not only do they have more pores, but there is also a high probability that there will be problems with the hair follicles. People who often do not pay attention to taking care of their skin are also very likely to suffer from skin diseases such as seborrheic dermatitis. Many people believe that the symptoms of folliculitis and seborrheic dermatitis are similar, so they treat these two diseases as one. So, are seborrheic dermatitis and folliculitis the same disease?

Seborrheic folliculitis is an inflammation caused by pyogenic cocci invading the area around the hair follicle opening and is limited to the upper part of the hair follicle; seborrheic dermatitis is a red rash or plaque in areas with more sebaceous glands, which merge into flakes and are accompanied by scaling. So, the two are not the same disease.

The treatment of seborrheic dermatitis mainly focuses on degreasing, sterilization, anti-inflammation and antipruritic.

(1) Compound sulfur lotion (Kushi's lotion), for external use once every night; 5% sulfur ointment for external use; selenium sulfide shampoo (Hilson) or sulfur soft soap, for washing hair 1-2 times a week.

(ii) Antifungal preparations, such as 2% ketoconazole lotion (trade name: Celexa) or 1% bifonazole shampoo for washing hair and bathing, 3% clotrimazole cream, 2% miconazole cream, bifonazole cream, etc. can all be used, but it should be noted that such drugs may have irritating and sensitizing effects on the skin.

(3) Vitamin B6 cream, skin care cream, vitamin E cream, etc. can be used in rotation, 1-3 times a day.

(IV) Glucocorticoid preparations

When the rash is severely inflamed and itching is obvious, additional medications may be used as appropriate, such as 1% hydrocortisone cream or 0.1% hydrocortisone butyrate ointment, triamcinolone acetonide chloramphenicol cream, 0.05% dexamethasone ointment, etc. Choose one and apply it externally 1-2 times a day. Note that long-term use is not recommended for lesions on the face and thin and tender skin, so as to avoid local side effects of hormones, such as acne, capillary dilation, skin atrophy and pigmentation changes.

Systemic treatment

(1) Vitamin B complex, 2 tablets, orally 3 times a day; Vitamin B6, 10-20 mg, orally 3 times a day; Vitamin B complex injection, 2 ml, intramuscular injection once a day or every other day.

(ii) You can choose 1-2 antihistamines to be taken orally to relieve itching.

(III) Glucocorticoids are mainly used in the short term when inflammation is obvious or the rash is widespread and other treatments cannot control it. Prednisone can be given, 20-40 mg/d, orally in 2-3 divided doses.

(IV) Antibiotics

For severe seborrheic dermatitis or obvious exudation, choose minocycline 50-100 mg, orally twice a day, erythromycin orally, or antifungal agents such as etracycline 0.1-0.2, orally twice a day. The treatment course is 1-2 weeks.

In order to better prevent skin diseases, you should strengthen skin care, do not always expose your skin to very strong sunlight, and do a good job of sun protection. If you often go outdoors, you should wear long sleeves and long pants even when the weather is very hot. This can prevent the invasion of bacteria and viruses and reduce the possibility of skin diseases.