Q: More than 10 years ago I was diagnosed with folliculitis on the nape of my neck. The dermatologist told me that there was no cure, that all I could do was control it by taking a round of antibiotics when it flared up. Up until two years ago I took the antibiotics three or four times a year for control. Two years ago my family physician suggested that I try Hibiclens on the affected area. I did and allowed it to set approximately five minutes before showering each day. The product completely controls this for me.

I have no idea how many people have this issue but it’s been such a blessing for me I thought your readers might benefit also. Thanks.

A: For those that may be unaware, folliculitis occurs when hair follicles become infected, most commonly with staphylococcus aureus or other forms of bacteria. Mild forms of the condition can be rather uncomfortable and more severe infections can cause scarring and permanent hair loss.

The bacterial infection presents as small pimples, white in color, around one or more hair follicles – the areas from which each hair grows. Superficial forms often clear by themselves in a short period of time; however, recurring forms may, as you have discovered, require medical attention. Minor forms – whether from a hot tub or from what is known as barbers itch, may result in tenderness, inflammation, and clusters of red or pus-filled lesions around the hair follicles. Deep folliculitis may cause true pain, large and swollen masses, possible scars, and pus-filled lesions that burst open and then crust over.

Superficial folliculitis from staph, the most common cause, can occur anywhere on the body where hair follicles are present. Bacteria live all around us but there have to be certain conditions established for it to cause a disease.

Pseudofolliculitis barbae is an inflammatory response that occurs from the shaving process, affecting hair follicles on the face and neck where beards grow.

Pityrosporum folliculitis is common in adult men and teenagers. It is caused by a yeast and presents on the back/chest/neck as itchy and red pustules;

Pseudomonas folliculitis thrives in hot tubs where chlorine and pH levels aren’t well-regulated. The rash commonly appears within eight hours to five days of exposure.

Deep folliculitis forms include sycosis barbae, inflammation of the entire hair follicle. Small pustules may appear at first on the upper lip, chin and jaw;

Eosinophilic folliculitis is found most commonly in individuals with HIV. The lesions may appear on the face, back or upper arms and often spread.

Treatment will depend on the type diagnosed. Home remedies may include over-the-counter hydrocortisone cream, using an electric razor instead of one with a blade, washing the area twice each day with an antibacterial soap, warm water compresses, a wet compress with white vinegar, and now – thanks to you – Hibiclens, a topical skin cleanser with antibacterial properties. The active ingredient is chlorhexidine. Avoid getting the medication in your ears, nose, mouth, eyes, rectum or vagina. Do not apply the medication to cuts, scrapes or open wounds. Be sure to check with a physician prior to its use.