Patient Information Sheet: Folliculitis Barbae
Understanding Folliculitis Barbae:
Folliculitis barbae, commonly known as barber’s itch or razor bumps, is a common skin condition characterised by inflammation of the hair follicles in the beard area. It occurs when hair follicles become infected or inflamed, often due to shaving, ingrown hairs, or bacterial or fungal infections. Folliculitis barbae typically presents as red, itchy, and sometimes painful bumps or pustules in the beard area.
Causes of Folliculitis Barbae:
- Shaving: Close shaving, especially with improper technique or dull blades, can cause irritation and micro-injuries to the skin, leading to folliculitis barbae.
- Ingrown Hairs: Curly or coarse hair may become trapped under the skin during shaving, leading to ingrown hairs and inflammation of the hair follicles.
- Bacterial or Fungal Infections: Bacteria or fungi, such as Staphylococcus aureus or Pseudomonas aeruginosa, can infect the hair follicles, resulting in folliculitis barbae.
- Poor Hygiene: Inadequate cleansing of the beard area, sharing contaminated grooming tools, or using dirty towels can contribute to the development of folliculitis barbae.
- Excessive Moisture and Sweat: Humid environments, excessive sweating, or occlusive clothing can create ideal conditions for bacterial or fungal growth, leading to folliculitis.
Symptoms of Folliculitis Barbae:
- Red, swollen, and tender bumps or pustules in the beard area.
- Itching, burning, or stinging sensations.
- Pain or discomfort, especially during shaving or touching the affected area.
- Formation of crusts or scabs over the bumps.
- Rarely, folliculitis barbae may progress to deeper skin infections or abscesses if left untreated.
Treatment:
- Topical Antiseptic or Antibacterial Agents: Application of topical antiseptic solutions or antibacterial creams, gels, or ointments to the affected area can help reduce bacterial colonisation and inflammation.
- Warm Compresses: Applying warm compresses to the affected area can help soothe irritation, promote drainage of pus, and facilitate healing of the inflamed hair follicles.
- Topical Corticosteroids: In cases of severe inflammation or itching, topical corticosteroid creams or ointments may be prescribed to reduce inflammation and discomfort.
- Oral Antibiotics: If folliculitis barbae is caused by a bacterial infection or is recurrent or severe, oral antibiotics such as erythromycin or doxycycline may be prescribed by a healthcare provider.
- Avoiding Shaving: Temporarily discontinuing shaving or using CLEAN electric razors instead of blades can help prevent further irritation and allow the affected skin to heal.
- Proper Shaving Technique: If shaving is necessary, using sharp, clean razors, shaving in the direction of hair growth, and avoiding excessive pressure or repeated passes over the same area can help reduce the risk of folliculitis barbae.
Prevention of Folliculitis Barbae:
- Good Hygiene Practices: Wash the beard area regularly with a gentle cleanser and avoid sharing grooming tools or towels with others.
- Clean electric shavers: Clean shavers regularly according to instructions.
- Moisturise: Use a moisturiser or aftershave lotion to keep the skin hydrated and prevent dryness and irritation.
- Proper Shaving Technique: Shave with the grain of the hair, use sharp and clean razors, and avoid pulling or stretching the skin during shaving.
- Exfoliation: Regular exfoliation can help prevent the buildup of dead skin cells and reduce the risk of ingrown hairs.
- Avoidance of Irritants: Avoid harsh chemicals, fragrances, or alcohol-based products that may irritate the skin and exacerbate folliculitis barbae.
Dr Anes Yang 