Scalp Acne

Scalp acne is a skin irritation found on the scalp or at the hairline. This condition is also known as Necrotica Millaris and Folliculitis. Pustules throughout the hairline form and can destroy the hair follicle. Fatty acids are produced in the follicle and an inflammation occurs which further concentrates areas of bacteria. In most cases, the affected area is self-controlled but in the cases of recurring or persistent folliculitis, a health-care professional should be consulted. The cause of this condition is unknown, but various factors are thought to cause reoccurrences. Some of these factors are frequent shaving, pre-existing scalp irritations, long-term antibiotics use, obstructive clothing or medical dressings, diabetes or obesity. All races of people, as well as all age groups, are affected by this condition. Both male and females can experience folliculitis but males are more susceptible to eosinophilic folliculitis and females experience pityrosporum folliculitis. Stress can play a role in exaggerating this condition.

Symptoms are usually a pustule with a hair through it, mild discomfort, and some drainage of area, temporary scarring or hair loss. Complications are not common, but include cellulitis or inflammation under the skin, skin boils, permanent scarring and hair loss. Scalp acne can affect any hair-bearing area, and can be very problematic if left untreated.

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Forms of scalp acne

Other forms of scalp acne are often commonly known as Barber’s Itch and are usually found on the bearded area of the face. Papules or small pus-filled sores form on the face near the lip or nose with hair appearing out of the follicle. This condition may be confused with impetigo but it is not the same condition. Impetigo is caused by a specific bacteria and is usually more common in children. Another form of acne, which occurs on the eyelid, is known as a sty. This is a pimple or abscess that forms in the follicle of an eyelash, and can be extremely painful.

More involved cases of scalp acne can manifest as abscesses or boils, and several boils together form a carbuncle. Deep fungal folliculitis can occur on freshly shaved legs and is called Majocchi Granuloma. Long-term antibiotic use can cause gram-negative folliculitis and can occur around the nose, cheeks and chin areas.

Scalp acne is a common irritation. Allergic reactions to hair treatments and shampoo or conditioners can trigger symptoms. Chemicals in hair products can irritate the scalp and cause the skin to become infected. Some men secrete an over-abundance of dihydrotestrostrene or DHT on the scalp, which makes males more susceptible to experiencing scalp acne. A build-up of bacteria on the scalp will only make the condition worse. Use of a zinc pyrithione, sulphur, tar or other medicated shampoo, can help to reduce the amount of bacteria and help to combat the acne. Juniper oil calms inflamed areas and also reduces bacteria present on the scalp and the skin around the hairline. Glycerin can be used on the scalp as an antiseptic and is antimicrobial to help control any surface contaminates which may be on the skin surface. Controlling scalp acne is important to maintain a healthy scalp and hair and to prevent scarring or hair loss in the future.