I’ve been finding pimples on my scalp these days. Is it serious ? How do I treat it ?
A scalp complaint is most likely folliculitis, an inflammation at the opening of a hair follicle.
Folliculitis can be bacterial, fungal, ectoparasitic or sterile (without any infection) in nature.
In case of fungal folliculitis, which is less common as compared to the bacterial variety, yeast organisms are the usual offenders. Sterile folliculitis can be either simple in nature such as pseudofolliculitis barbae or pseudofolliculitis nu-chae, where small round relatively less inflamed non-infected, but severely itchy papular lesions are seen on the beard area in men and on the nape of neck in both genders, mainly those with genetic predisposition of having curly hair.
This condition is popularly known as ingrown hair. There are more complex varieties of sterile folliculitis where the hair follicle is either partially or totally ruptured and destroyed by the inward penetration of hair through the follicular wall. These cases are extremely hard to treat or to cure and mostly leave the affected areas of the scalp with a “Scarring Alo-pecia” – which means areas of hairless patches where the scarred follicles have been structurally destroyed to an extent of losing the ability to regrow hair. This leaves the sufferers with permanent bald areas on scalp.
Most types of bacterial folliculitis of the scalp can be treated through courses of oral antibiotics and topical antibacte-rial preparations. The duration of such treatment can vary from a few weeks to even months.
In general, the resistant cases of scalp folliculitis respond quite successfully to medication. In cases of fungal (yeast) folliculitis, use of oral antifungals together with topical antifungal preparations usually prove sufficient. In certain cas-es, folliculitic eruptions of the scalp could be a result of repeated frictional trauma to the hair follicle, for example, vig-orous scratching due to eczemas or response to severe itching by extreme psychological stress. Similar folliculitic le-sions can also be seen in people using certain hair dyes.
Head lice infestation can also cause the condition. Consult an experienced dermatologist who can determine the type of folliculitis and can treat you accordingly.