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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Pimples On The Scalp, Hair Loss. Suffer From Hypertension. Remedy?

Hi I m a black lady 49 years of age, and I get sore pimples in my scalp . some I can pop and some are just big and hard. I have thining hair in the top, my job requires me to wear a hard hat. the only medical problem I have is High blood pressure . I can not perm my hair because it will fall our,and leve me with ball spots. What can I do to prevent the pimples and to get my hair to growing back in the top?
Thu, 24 Jan 2013
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Dermatologist 's  Response
Hi..thanks for your query.
I think the concern here is a kind of folliculitis affecting your scalp.Folliculitis is the inflammation of a hair follicle caused by bacterial or viral infection, chemical irritation, or even a physical injury.Lesions usually consist of asymptomatic erythematous perifollicular papules or pustules, but pustules may be painful or itchy and surrounded by erythema.
The most common form of infectious folliculitis is staphylococcal folliculitis, occurring most commonly in persons with diabetes.It is common to get them on the scalp.Especially with the frequent use of the hat that you mention,it might cause aggravation due to warm and moist environment.
Folliculitis usually responds to antiseptic washes, warm compresses, and topical antibiotics
Appropriate oral antibiotic therapy is required for patients who have immunosuppression or moderate-to-severe folliculitis.
I would suggest you seeing a doctor, as these are very recurrent and keep persisting ,unless proper therapy is instituted.However please take care not to touch or burst them at all!
Hope this helps..
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Pimples On The Scalp, Hair Loss. Suffer From Hypertension. Remedy?

Hi..thanks for your query. I think the concern here is a kind of folliculitis affecting your scalp.Folliculitis is the inflammation of a hair follicle caused by bacterial or viral infection, chemical irritation, or even a physical injury.Lesions usually consist of asymptomatic erythematous perifollicular papules or pustules, but pustules may be painful or itchy and surrounded by erythema. The most common form of infectious folliculitis is staphylococcal folliculitis, occurring most commonly in persons with diabetes.It is common to get them on the scalp.Especially with the frequent use of the hat that you mention,it might cause aggravation due to warm and moist environment. Folliculitis usually responds to antiseptic washes, warm compresses, and topical antibiotics Appropriate oral antibiotic therapy is required for patients who have immunosuppression or moderate-to-severe folliculitis. I would suggest you seeing a doctor, as these are very recurrent and keep persisting ,unless proper therapy is instituted.However please take care not to touch or burst them at all! Hope this helps..