It is also known as Follicular dermatitis, keratosis pilaris and chicken skin disease. It can occur in people of all ages. But it is more common in childhood. It has been observed that some patients recover before reaching the age of 30. It occurs more often in men.
It forms on the skin in the form of very small blisters, roughness. Although this genetically transmitted problem is common, it is not well known because it does not adversely affect daily life and general health.
The prevalence is not known exactly because patients often do not need to go to the doctor. It causes less itching than other types of eczema, and some patients do not experience itching. However, as the lumps become itchy, the skin is destroyed and small wounds occur. In some patients, the wounds become infected as a result.
Follicular dermatitis is a rare type of dermatitis.
Follicular dermatitis mostly occurs on the arms near the shoulders and on the upper parts of the legs. In some patients, the face, back, hips, hands, and legs are affected. When it occurs on the face, it can be confused with the problem of acne. However, the disease is not seen in areas without hair such as palms and soles. Because the disease is a problem related to hair follicles and dermis layer of the skin.
Causes of Follicular Dermatitis
Follicular eczema is a genetically transmitted problem. Although the exact reason is not known today, it is mainly caused by the accumulation problem in the hair follicles and causes irritation. It is more common in pregnant women, those with diabetes and allergic bodies. It is more likely to occur in people with asthma, hay fever, and allergies.
Other factors that are thought to affect the disease can be listed as excessive stress, unbalanced and unhealthy diet, hormonal imbalances, some foods, various diseases and weather changes.
It has been observed that follicular dermatitis in women increases during menstrual periods.
This situation is thought to be related to hormones. Humidity changes in the air are also among the conditions that trigger the disease. It is likely to increase in cold and dry weather. Sunlight and humid weather reduce the symptoms.
Follicular Dermatitis Symptoms
Follicular dermatitis occurs around the hair follicles. It creates very small bubbles and lumps in the affected areas. These usually develop to the size of a grain of sand. In some patients, the blisters may be red and inflamed, while in others they appear as skin-colored lumps. The blisters mostly appear on the upper arms and legs. In some patients, it may also occur in areas such as the back, trunk, and face.
Like other types of eczema, the disease can cause skin dryness in the affected area. In such cases, itching begins. When the blisters itch, the skin is irritated and small sores may form in the area. These wounds are likely to become infected. The severity of the symptoms increases with exposure to the factors that trigger the disease.
How is Follicular Dermatitis Diagnosed?
The diagnosis of follicular dermatitis is made by a physical examination by a dermatologist. The doctor can make the diagnosis by evaluating the symptoms, the condition of the skin, and the history of the disease. Often no other tests are needed. However, in some cases, dermoscopy may be needed. Dermoscopy is a method in which the skin surface is examined with a microscope.
Follicular Dermatitis Treatment
Follicular dermatitis treatment is usually done to prevent the visual condition caused by the disease. The disease has no harm to general health. However, when problems such as itching and inflammation occur, treatments are applied for them.
In addition, if the patient is visually disturbed, he may want to be treated. But the disease may reappear after a while.
If the wounds caused by itching in the area become inflamed, antibiotic treatment can be applied.
In the treatment of this, creams containing acids that have a peeling effect can also be used. The itching problem mostly occurs as a result of the skin losing its moisture and drying out. As in other types of eczema, keeping the area moist during the day helps to relieve itching. Moisturizers with ingredients that will not damage the skin’s barrier and support it are preferred.
In addition, care is taken to ensure that the product used does not contain any ingredients that may irritate the skin. It is important for this disease that moisturizers are perfume-free. Creams and lotions containing salicylic acid, lactic acid, retinoid, glycolic acid, vitamin D are often recommended in the treatment of the disease. But recovery takes some time.
On the other hand, carbon dioxide laser and YAG laser technologies are also very effective in healing. Follicular dermatitis can be cured with laser methods applied in sessions.
In addition to all treatments, it is always necessary to stay away from the factors that trigger the disease. It is important to pay attention to the humidification of the region in order to avoid re-exacerbation in seasonal changes.It is useful to take care that clothing fabrics do not irritate the skin, stay away from stress, eat a regular and balanced diet, and stay away from allergic factors.