Hello,
I am a 25 year old female that has been battling with scalp folliculitis for the past 2.5 years. I have been on Bactrim DS for several years now for acne, I would say since 2005, but I developed scalp folliculitis in approximately Feb. 2008. I have tried every shampoo imaginable, prescription & non prescription (tar-based, salicylic acid, sulfur, sodium sulfacetamide, zinc, ketoconazole, salicyclic acid AND sulfur combined, hypoallergenic, selenium sulfide). I currently go to a dermatologist every 3 months for follow-ups (mostly for acne, but my scalp as well), but have received at least 3 other opinions. First doctor switched me to minocycline & Re-10 Wash (containing sodium sulfacetamide) which did no good. Second doctor took a biopsy of one of my lesions revealing folliculitis. He placed me back on Bactrim and Clindagel for topical use. He instructed me to use regular Head and Shoulders as well as Pantene Pro V. The Clindagel does help clear up all the active lesions, but it does not help prevent any new lesions. Of course, I don't use the Clindagel on ALL of my scalp, so I understand there is no way to prevent new lesions with just this medication. Third doctor, whom which I saw earlier this month, suspects I have scalp acne & has switched me to doxycycline. So far, no results. I still use the Clindagel on all my lesions, but I am so frustrated with this disease. I also recently used a steroid shampoo called Clobex 2x a week for 2 weeks - no results. I have had my nose cultured-normal, and 2 lesions cultured as well. First culture came back as normal scalp, second one was done recently so I do not have results yet. Everyday I seem to have 1 or more new lesions on my scalp. They are itchy,painful, and range from small to moderately large. I am at my wit's end with this condition. My routine dermatologist has recommended possibly ketoconazole for 5 days only to help flush out any fungus, yeast that may be causing this. I am willing to try anything at this point. Any thoughts?