Is it Acne or Folliculitis?

Folliculitis is an infection of the hair follicle that is most commonly bacterial, but can occasionally be caused by a fungus. It can be either superficial in the follicle or deep in the skin.

There are also forms of folliculitis which are non-infectious such as those caused by tars, oils and greases that come into contact with the skin.

When, Where, And Who Gets Folliculitis?

Superficial staphylococcal folliculitis is quite common and is seen in people of all ages. It is probably more common in those who have eczema and diabetes. You might see it on your face, scalp, upper trunk, buttocks, or as a sty on your eyelids.

Deeper staphylococcal folliculitis is uncommon and may be seen as boil-like lesions in diabetics. There is also a condition called sycosis, which is a pustular folliculitis, particularly in the bearded area of men.

Gram-negative folliculitis is only rarely seen, usually on the face of those who have been taking antibiotics on a long-term basis for acne. Gram-negative folliculitis is most often seen in people who have been in a hot tub or whirlpool that has been contaminated by the bacteria pseudomonas.

Fungal Folliculitis:

Trichophyton folliculitis is mostly seen in women who shave their legs, presumably spreading this from their athlete’s foot fungal infection.

Pityrosporum folliculitis is usually located on the upper back and shoulder of young people. It is more common in individuals who are immunosuppressed.

Candida folliculitis can be seen on the scalp and in occluded moist areas, such as under the breasts and in the groin areas of people who are obese.

Lab Tests:

Swabbing the skin, then sending it to a laboratory for bacterial and yeast cultures will confirm the infection.

A skin biopsy may be required to confirm deep fungal of yeast folliculitis.

Blood sugar tests and/or HIV testing should be done for those who have repeated infections or an infection that does not have the typical symptoms

What Can I Do About My Folliculitis?

Self help:

Good hygiene with regular hand washing is a must to minimize the risk of staph infections. Keeping your skin healthy and avoiding factors that can over-dry your skin, causing it to crack should be avoided. Picking and squeezing the skin causes minor damage, which in turn makes it easier for infection to set in. A skin that is clean and intact with no abrasions or sites of friction or irritation is less likely to become infected. In some circumstances, there may be a role for antibacterial cleansers. Hot tubs need to be checked regularly for pH and antiseptic levels.

Medical treatment:

If you think you have folliculitis, the most important thing for you to do is to see your doctor in order to confirm the diagnosis, so that you can seek folliculitis treatment. Ideally, the organism causing the infection should be identified and its sensitivity to antibiotics should be established.

Sometimes, your doctor will treat an infection based on his or her clinical suspicion, especially if the appearance is typical.

Bacterial folliculitis can be caused by the following bacteria

• Staphylococcus aureus
• Gram-negative bacteria

Pseudomonas (hot tub folliculitis)

• E. coli
• Klebsiella
• Fungal /yeast folliculitis
• Candida albicans
• Pityrosporum ovale
• Trichophyton rubrum

Topical treatments:

Topical antibiotics and antifungal creams to treat staphylococcal folliculitis:

The choice of folliculitis treatment will depend on the cause of the infection as well as how deep and extensive it is. Topical antibiotics should be used in the short term to minimize the risks of bacterial resistance.

Topical antibiotics can clear superficial localized infections. The affected area should be treated with the appropriate cream or ointment two or three times a day. Chronic staph can be carried inside the nose, and can be a factor if the infection recurs. In such a case, nightly application of the ointment inside the nose will clear the reservoir of the bacteria. Oral antibiotics will be required if there is an inadequate response.

1) Fusidic acid:

Fusidic acid is an antimicrobial that was isolated by Godtfredsen, et al, in Europe from the fermentation of Fusidium Coccineum. It was introduced into clinical practice in 1926, as an oral drug. About twenty years later, it was introduced in Canada as a topical drug.

How do I use this medication?

Fusidic acid is available both as a cream and as an ointment. You should apply it thinly on to the infected area 3-4 times daily.

How does it work?

Fusidic acid inhibits protein synthesis in the bacteria and without that capacity, the bacteria will die. The topical formulation penetrates a damaged, infected horny layer better than intact skin. It is related to the cephalosporin, an antibiotic produced by Cephalosporium, a genus of fungi.

Will there be side effects?

Side effects from the topical preparations are very uncommon. There have been no human tests done during pregnancy and lactation, but there have been no adverse reports.

Can I take other medications?

There are no interactions from the topical formulation of fusidic acid.

Which brands are available?

• Fucidin® 2% cream and ointment available as well as Fucidin HCl®, which is combined with 1% hydrocortisone acetate
• Fucidin Intertulle® - impregnated into a gauze
• IV, tablets and oral suspension (250mg/5ml) are available, IM and subcutaneous administrations are too irritating

2) Mupirocin:

A natural product of Pseudomonas fluorescens that has antibacterial actions against gram-positive bacteria such as Staphylococcus and Streptoccus. It has some activity against gram-negative organisms. It is inactive against anaerobic bacteria chlamydia and fungi.

How do I use this medication?

Mupirocin is available both as a cream and an ointment. You should apply it thinly on the affected area 3 times a day for up to 10 days. It may be used on all ages except for in the USA where the Bactroban nasal ointment is not recommended for children under the age of 12.

How well does it work?

Mupirocin is easy to apply and is very effective against the common skin pathogens such as Staphylococcus and Streptococcus. It works well for impetigo as well as bacterial folliculitis. The incidence of resistance remains low. For localized impetigo it works as well as oral antibiotics in 90% of cases. It is not effective against Pseudomonas or fungi. It is useful in the treatment of chronic Staph carriage in the anterior nares (nose).

How does it work?

It is unlike other antibiotics in that it inhibits bacterial isoleucyl transfer-RNA synthetase blocking protein synthesis. It is bacteriostatic at low concentrations and bacteriocidal at high concentration. There is virtually no systemic absorption via intact skin and anything that is becomes metabolized to monic acid and quickly removed by the kidneys.

Will there be side effects?

Local:

Dry skin, swelling, burning pain itch and rash. The effects are usually mild. Allergic reactions are rare. Polyethylene glycol will be irritating if the ointment is used around the eyes.

Systemic:

Renal toxicity from absorption of the polyethylene glycol vehicle (ointment only) if large amounts are used in open wounds or burns.

Which brands are available?

• Bactroban ointment 2% mupirocin (polyethylene glycol base)
• Bactroban cream 2% mupirocin (oil-water based emulsion)
• Bactroban Nasal - for the nose and is in a white paraffin/glycerin base (not available in Canada)

What conditions are treated by this medication?

• Skin staphyococcal infections including impetigo, folliculitis, burns, and wounds
• It is also used to treat streptococcal infections

Cleanse and Tone Daily for a Great Complexion

By Van Le | Beauty may only be skin deep, but having a great complexion makes life a lot more pleasant. The key to having great skin is finding a skin care regimen that tailors to your skin’s individual needs, and following this regimen daily. It does not have to be complex and complicated—in fact, simpler is better since you will need to follow the same steps twice a day.

The first step is to do your homework. Determine what your skin type is, and find a product line that works well for you. There are many resources you can use either online or through your local library to help you determine your skin type. Look for published works by dermatologists or skincare experts who have created their own skin typing quizzes or online calculators such as this one: http://www.biobalance4women.com/skin_type.html. There are even sunscreen and UV calculators to help you find the best sun protection for your skin type. A product that works perfectly for your friend or sister may not produce the same results for you. Luckily, most products now specify which skin type it works best for. Also, there are several herbal skin care lines on the market whose products contain all-natural ingredients that work well with most skin types. When experimenting with new products, keep track of those that are effective and more importantly, those that irritate your skin so you can stay away from other products that contain similar ingredients. Ultimately, creating and maintaining a great complexion comes down to three simple steps: cleanse, tone, moisturize.

Cleanse

Finding a cleanser that works well for your skin is the foundation of having great skin. Some prefer to use a heavier cream cleanser during the winter months and a lighter cleanser through the summer, while others use the same product year-round. Wash your face twice a day, massaging the cleanser in a circular motion to remove dirt and excess oil, which can clog your pores. Proper cleansing at night also removes all traces of makeup and allows your skin to breath freely. Remember to change your pillow cover regularly, since the dirt and pollutants can transfer to your face while you are sleeping.

Tone

Even after washing your face with a cleanser, some traces of dirt and stubborn makeup may remain on your skin. A toner will completely remove any leftover dirt or residue left by the cleanser, reducing the chances of infections. Some cleansers may change the skin’s pH, and a toner will help bring the skin back to the proper level. Toners are also excellent in prepping the skin for the next step, moisturizing. Dip a cotton ball into your favorite toner and apply across the surface of the face, being careful not to get too close to the eyes.

Moisturize

Moisturizing daily will help the skin stay hydrated and produce a healthy glow. Lack of moisture can lead to wrinkles, fine lines, and can produce premature signs of aging. A moisturizer will restore the skin of all the natural oil stripped throughout the day and during the cleansing and toning process. The right moisturizer depends on your individual skin type, and will help your skin produce a natural glow.

Weekly, bi-weekly and monthly skin care products and processes such as masks, peels and facials are great to help revamp and rejuvenate your skin; however, a great complexion starts and ends with a proper daily skincare regimen.

Van Le is a staff writer for the CSU Daily Titan and writing intern for Vivoderm Laboratories in Los Angeles, California. She is currently pursuing a Journalism degree at California State University, Fullerton.

For the latest findings on natural skincare you can also link to http://herbalfacialskincare.com

The Best Way to Clean Your Face

By Van Le | Washing our face may be the simplest daily routine we can perform for a healthy complexion, but it is often a neglected subject when it comes to discussing skincare. As children, “washing your face” means to simply splash water on our skin for a few seconds. However, as our skin matures, it requires more attention and a proper routine, since properly cleansing our face daily is truly the foundation for fabulous skin. Essentially, the purpose of washing our face is to remove dirt and excess oil, unclog pores, and allow our skin to breath freely. At the same time, it removes dead layers of outer skin to make room for younger, healthier skin. Here are a few tips for properly washing your face.

First, thoroughly wash your hands with warm water. Grease, dirt and grime can transfer from the hands to the face by touch; therefore, it is important to get rid of any leftover residue before touching your face.

Second, wet the face and use a gentle cleanser to wash away the dirt, impurities and pollutants. Try an herbal product that contains natural ingredients and vitamins, such as Vivoderm’s facial cleanser. Infused with skin-friendly herbs such as vitamin A, vitamin E, Aloe vera, rosemary and chamomile extract, it leaves the skin clean and hydrated. It can also be used to remove eye makeup, since it is a gentle product.

Vivoderm’s line of skincare products contains no harsh chemicals or preservatives that can irritate the skin. Apply the cleanser to your face, use your middle and ring fingers to massage the product in a circular motion, moving upward from the chin to forehead. Be careful not to apply too much pressure, especially around delicate areas such as the eyes.

Rinse your face with plenty of luke-warm water to wash away the cleanser along with any dirt and oil. It is especially important to use warm water since hot water can cause capillaries under the skin to burst, while cold water won’t completely remove impurities on the skin. Make sure you wash along the hairline and neck, since soap residue around these areas can irritate the skin and cause more problems.

Next, pat your face dry with a clean towel. Never rub your face since it could cause irritations, and always use a clean towel. A dirty towel will just transfer dirt and pollutants back onto your face, defeating the purpose. Then, use an alcohol-free toner to bring your skin to the proper pH. Vivoderm offers an all-natural toner that helps sooth the skin.

Finish off by applying a moisturizer that replaces the essential oils that have just been washed away. Vivoderm’s intense moisturizer contains a cocktail of natural herbs that helps the skin maintain a healthy glow.

Cleanse your face in the morning and night, but no more than twice a day, since excessive washing can strip the skin of essential oils. By following these steps, clear, healthy skin is simple and easy.

Van Le is a staff writer for the CSU Daily Titan and writing intern for Vivoderm Laboratories in Los Angeles, California. She is currently pursuing a Journalism degree at California State University, Fullerton.

For the latest findings on natural skincare and facemasks, you can also link to http://organicskintreatment.net

Natural Soap and Dry Skin Tips

If you are one of those who buys a great smelling moisturizing soap at a department store on a cold, dry, winter day, run a bath and try to soak away
your dry itchy skin only to find that you felt worse than before and suffered that deep down-in-the-skin itch.  It may be the artificial fragrance, color or
preservatives (or something else) causing a negative reaction in your skin. If you tend to have these reactions, you may want to try a natural soap.

Hot summer days and dry winter air and central heating can zap moisture from your skin and may leave you with dry, itchy, irritated skin. Pay attention
to these suggestions for preventing and treating dry skin:

Natural soap can be made from many ingredients, but generally, take the form of a solid and and oil along with essential oils or natural plants - this can
be beeswax, shea butter, coco butter, coconut oil, almond oil, jojoba oil and a myriad of natural fragrances and essential oils, such as rosemary,
lavender or orange.

·    Liquid soap tends to dry skin more than bar soap.

·    Hot showers tend to dry skin. Try turning down the hot water a bit when showering.

·    Try soaking in the bath for a short time. While you soak, your skin is being hydrated.

·    Apply moisturizers as soon as possible after showering/bathing while the skin is hydrated to help trap in moisture.

·    Use moisturizers with little or no water in the ingredients. Many lotions and moisturizers list water as the main ingredient which is evaporated soon

after applying.

·    Avoid harsh soaps. Antibacterial soaps can be especially drying. Commercial soaps often extract the beneficial glycerin and add synthetics that

contribute to dry skin. Try using natural soap.

·    Adding lots of olive oils and other good oils to your diet aids in keeping skin moist and supple.

·    Drink lots of water to keep your skin hydrated.

·    Use a humidifier in your home.

·    Wear natural fabrics such as cotton next to your skin.  Cotton sheets are also a good choice.  Synthetic fabrics (and wool) next to your skin can
cause irritation.