HomeAnswersInternal MedicinefolliculitisI have pus-filled pimples on my scalp, and I go bald in the area when my pimples disappear. Why?

How to get rid of scalp folliculitis and cure it permanently?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At August 28, 2022
Reviewed AtAugust 3, 2023

Patient's Query

Hello doctor,

I am a 21-year-old male with these pimples on my scalp under my hair. Some of them are small, and a few of them are big with pus filled in them. When they go away after a short period of time, I go bald in that area, depending upon the size of the pimple. My hair grows back after a few weeks. It has been over three years, and I have not found a solution. A doctor said I was suffering from seborrheic dermatitis and told me to use the following :

1. Sebowash shampoo

2. Ketoconazole 2 % shampoo

It has been over a month using them, but I do not see any improvement. Please tell me what to do.

Hello,

Welcome to icliniq.com.

I have thoroughly gone through your case and can well understand your genuine health concerns. You have got scalp hair follicle infection, and due to that, there is an issue of pimples, and they are filled with pus too. I suggest you take the following medications after consulting a specialist and with their consent.

1) Stieprox (Ciclopirox) shampoo- 3 to 4 times per week.

2) Tablet Claritin (Loratadine) orally for 7 days.

3) Azithromycin 500 mg once daily for 14 days.

4) Ibuprofen twice daily for 5 days to reduce inflammation.

5) Procort (Hydrocortisone and Pramoxine) topical ointment to apply on scalp affected area.

6) Perfectil (Riboflavin, Niacin, Biotin, Selenium, and Zinc) capsule for hair, nails, and skin.

I am giving a list of food items good for your health and to fight against such infections. Immunity booster foods that are good are:

Citrus fruits, red bell peppers, broccoli, garlic, ginger, spinach, almonds, yogurt, cashew, turmeric, green tea, berries, kiwi, apples, red grapes, kale, onions, sweet potatoes, carrots, shiitake mushroom, and chicken soup.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif
Dr. Muhammad Majid Hanif

Cardiology

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