What causes ingrown hairs despite using medications?

Question

Hello doctor,

There has been an increased number of ingrown hair in my skin. It appears like a white substance initially, followed by clusters of numerous follicles. Unfortunately, this issue is not limited to one area; there are many minor spots all over my body.

The condition has worsened significantly, with my chin becoming flaky, painful and feeling like my skin is stretching or tearing. Also, I am moving out of my apartment due to various types of mold infestation, including a high-density black mold.

I sought medical attention when the ingrown hair problem started, especially after dealing with a sinus infection, which improved with a round of steroids. But, the pain returned shortly after stopping the steroids and was more severe. The affected area is now inflamed, painful, and excessively flaky, resembling a long scar from previous surgery on my face.

My current medications include Zoloft, Buspirone, Adderall, and Zyrtec. In the past, I have been prescribed Amoxicillin and Prednisone for the same complaint.

Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concern.

Based on the information and images you shared (attachments removed to protect the patient's identity), it appears to be ingrown hairs. Unwanted facial and body hair is most commonly caused by shaving and waxing. When the hair is removed, it can grow sideways or curl back into the hair follicle,and get trapped under the skin. This leads to irritation and inflammation of the surrounding skin.

Treatment for ingrown hairs may vary; sometimes, they can heal independently without any specific intervention. I suggest you apply a topical steroid cream like 0.1 percent Mometasone (Mometasone (0.1 % w/w)) for relief and Retino-A 0.025 % (Tretinoin 0.025 % w/w) locally at night to dislodge keratin and facilitate the emergence of ingrown hairs.

Consult your GP or dermatologist before starting this treatment. I noticed a solitary abraded wound on the dorsum of your hand. For this, you can apply mupirocin ointment twice daily for five days. Please schedule a follow-up after two weeks for further assessment and management.

I hope this helps.

Please revert in case of other queries.

Thank you.