Armpits - the "favorite" area of ​​folliculitis

This is an automatically translated article.

The article was written by Specialist Doctor I Le Thi Thu Hang - Dermatologist, Department of Medical Examination & Internal Medicine - Vinmec Hai Phong International General Hospital.
The armpit is a wet area with a lot of sweat, so it is easy to get folliculitis. Folliculitis in the armpits greatly affects the quality of life and aesthetics, so it needs to be treated actively and effectively.

1. What is folliculitis?

Folliculitis is an inflammatory reaction of one or more hair follicles anywhere on the body, except the palms, soles, and semi-mucosal regions. Folliculitis includes the following types:
Superficial folliculitis, folliculitis: There are small pustules like millet seeds, very shallow in the pores, pale yellow, easily broken, leaving pus or blood-stained scales. . The disease usually progresses in waves and can heal after a few days, leaving no scars. Typical site of superficial folliculitis is the face, scalp, armpit hair, pubic hair, groin folds and legs Deep folliculitis: Inflammation that invades the follicle structure, when healed, can form a keloid or scar. atrophic scarring, hair loss. Most cases of folliculitis are caused by Staphylococcus aureus that live on the skin, on the pores. However, folliculitis can also be caused by a number of other bacteria such as gram-negative bacteria, proteus, enterobacter klebsiella, pseudomonas aeruginosa, or by yeast, filamentous fungi, or viruses.

2. Symptoms of axillary folliculitis

Axillary folliculitis is an inflammatory reaction of one or more hair follicles in the armpit. When having folliculitis in the armpit, the patient will have the following symptoms on the skin of the armpit:
The underarm skin is red, swollen, the patient has itching and smelly armpits The appearance of red, pyramidal pimples containing pus . Pus at the top of the acne, with a yellow dot in the middle, around the acne with a red halo. Over time, acne will turn from red to bruised, painful to the touch, fragile and crusted. Itching in the armpits, obvious redness. Armpit hairs grow inward, twist downward, do not rise to the surface. skin, underarm skin is swollen, red, ...

Ngứa ngáy vùng nách, mẩn đỏ nổi rõ là triệu chứng điển hình của viêm nang lông vùng nách
Ngứa ngáy vùng nách, mẩn đỏ nổi rõ là triệu chứng điển hình của viêm nang lông vùng nách

3. Causes of folliculitis in the armpit

Staphylococcal: Staphylococcus aureus can cause superficial folliculitis (also called Bockhart's impetigo), which can cause deep inflammation that spreads down the entire hair follicle. When the inflammation spreads to the hair follicle - sebaceous gland unit, it may leave a scar after the treatment is over. The disease often recurs because the favorable factors that cause the disease cannot be eliminated such as a polluted, hot and humid environment. Infection of the hair follicles in the armpit: The skin of the armpit is infected, under the influence of sweat, the infection spreads, Swelling, clogging pores and causing folliculitis Caused by fungi: Candidiasis parasitic in some wet areas of the human body such as the intimate area, armpits attack the mucosa of the skin under the arms, causing folliculitis. Excessive sweating: Underarm sweat glands secrete a lot, sebum accumulates causing clogged pores, bacteria multiply causing folliculitis and underarm odor Improper armpit hair removal: Shaving, plucking armpit hair At home, it has a bad effect on the underarm skin, the pores are too dilated, creating conditions for bacteria to enter and cause folliculitis. Using deodorant rollers is not suitable: Some types of deodorant have ingredients The inappropriate part causes skin irritation, leading to axillary folliculitis Genetics: In a family with axillary folliculitis, the risk of disease will be higher. Other causes: Allergy to drugs or cleaning chemicals, polluted environment, increased sebum secretion on the skin,...

Sử dụng lăn khử mùi không phù hợp cũng là nguyên nhân gây viêm nang lông ở nách
Sử dụng lăn khử mùi không phù hợp cũng là nguyên nhân gây viêm nang lông ở nách

4. Treatment of axillary folliculitis and underarm odor

Axillary folliculitis is quite persistent, or recurrent due to favorable factors from the external environment as well as the patient's location. Possible complications are boils, boils, and inflammation of the subcutaneous tissue. At the same time, axillary folliculitis also causes an unpleasant odor, loss of aesthetics due to dark, rough armpit skin...
4.1 Treatment of armpit folliculitis Do not squeeze pustules Use topical anti-inflammatory drugs infections such as betadin alcohol, iodine alcohol, antibiotic creams or ointments such as fucidin, bactroban,... In case of severe and recurrent folliculitis, systemic antibiotics can be used. The antibiotics of the β-lactamin group, amoxillin, cephalosporin group, cyclin, ciprofloxacin,... can all be used with the dosage and usage according to the doctor's instructions. With axillary folliculitis or recurrence, need to Find out the cause of the disease, detect the germ foci for thorough treatment.
4.2 Treatment of underarm odor caused by folliculitis Lightly apply alcohol to the armpits or dilute alcohol with water to wash the armpits every day Mix a teaspoon of hydrogen peroxide in a cup of water, stir well and then dip a clean towel in this solution Apply it on the armpits, leave it for about 30 minutes Cut a lemon slice, gently rub the armpit area or squeeze a little fresh lemon juice to apply it on the armpit Use a cotton ball to soak a little apple cider vinegar and then apply it to the armpit, wait for about 2-3 minutes then Take a bath Apply baby powder lightly to the armpit area. The mild scent of baby powder helps reduce odor and limit sweat. Apply a few drops of menthol in the palm of your hand and rub it gently under your armpits.

5. How to prevent axillary folliculitis?


Hạn chế sử dụng các thực phẩm có mùi như tỏi để phòng tránh bệnh viêm nang lông nách
Hạn chế sử dụng các thực phẩm có mùi như tỏi để phòng tránh bệnh viêm nang lông nách
Eliminate local trauma by not scratching, not rubbing the armpits Do not wear clothes that are too tight, wear clothes that absorb sweat well Treat co-morbidities that cause axillary folliculitis Wash clothes with soap disinfection room Keep the body clean Drink lots of water to avoid dehydration, eliminate toxins faster; Have a healthy diet, add more green vegetables, fruits and whole grains Shave the armpit hair properly and can apply extra virgin coconut oil to the armpits Don't eat smelly foods like garlic, chili, fish , red meat, onions,... Do not drink alcohol and caffeine. Do not smoke, avoid nervous stress Folliculitis in the armpit causes many troubles for patients in daily activities. Therefore, when showing signs of disease, patients should quickly go to the doctor for timely diagnosis and treatment. When treating folliculitis in the armpit, patients need to strictly follow the instructions of the doctor to achieve the highest therapeutic effect.

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