Blisters on the chest

Chest blisters are a skin problem that many people have. This problem may be an important manifestation of folliculitis. Folliculitis is a skin disease with a particularly high incidence rate. When it occurs, it will cause certain physical and mental torture to the patient, so it needs timely treatment. Below, we will introduce in detail the causes, clinical manifestations, diagnosis methods and treatment methods of folliculitis.

1. Causes

Folliculitis is a purulent inflammation caused by bacterial infection of the entire hair follicle. Initially it appears as red papules, which gradually evolve into papular pustules, which are isolated and scattered, and cause mild pain. In adults, it mainly occurs in hairy areas, and in children, it is more common on the head. The rashes can sometimes merge with each other, and small bald spots may remain after healing.

The pathogens are mainly Staphylococci, and Staphylococcus epidermidis can sometimes be isolated. Uncleanliness, scratching and low body resistance may be the causes of this disease.

2. Clinical manifestations

It initially appears as a red, solid papule consistent with the opening of the hair follicle, or it starts with follicular impetigo, and then rapidly develops into a papule-pustule, with the hair running through the middle and redness and inflammation all around, followed by drying and scabbing. It heals after about a week of scab falling off, but there are also cases of recurrence and no healing for many years. Some may also develop into deep infection, forming furuncles, carbuncles, etc., which generally do not leave scars. The number of rashes is large, isolated and scattered, and the patient feels mild pain. In adults, it mainly occurs in hairy areas, and in children, it is more common on the head. The rashes can sometimes merge with each other, and small bald spots may remain after healing.

3. Diagnosis

1. At the onset, the disease appears as a hard lump with local redness, swelling, pain and tenderness. After a few days, the source of the disease expanded, and a yellow-white pus plug appeared in the center, which then softened and ruptured, and pus was discharged. The inflammation was alleviated and gradually healed.

2. When the furuncle is large, there may be systemic symptoms such as fever, headache, fatigue, and increased white blood cell count.

3. If facial furuncle is combined with intracranial infection, the face will be severely swollen and may be accompanied by chills, high fever, headache and other cavernous sinus infection embolism.

IV. Treatment

Antibiotics can be used as appropriate. 1% neomycin ointment, mupirocin ointment, fusidic acid ointment or 2% iodine tincture can be applied topically. Ultraviolet radiation can also be tried. For patients with recurrent attacks, autologous vaccine or polyvalent staphylococcal vaccine can be tried.