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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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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Signs and Symptoms
The most common locations for folliculitis in children include:
  • Scalp
  • Face 
  • Buttocks
  • Arms and legs 
Individual lesions of folliculitis are pus-filled bumps (pustules) centered on hair follicles. These pustules may be pierced by an ingrown hair, can vary in size from 2–5 mm, and are often surrounded by a rim of pink-to-red, inflamed skin. Occasionally, a folliculitis lesion can break open (rupture) to form a scab on the surface of the skin.

Both mild and moderate folliculitis are often tender or itchy. More severe folliculitis, which may be deeper and may affect the entire hair follicle, may be painful.

Mild and moderate folliculitis usually go away quickly with treatment and leave no scars. However, more severe folliculitis may lead to more serious complications, such as an infection of the deeper skin tissue (called cellulitis), scarring, or permanent hair loss.
Last Modified: 30 Oct 2007
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