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Severe folliculitis in my scalp

I have had this painful problem for years (9 years and 6 month to be exact). I am 40 years old, male, from Canada. Here's how the problem started. Tiny red bumps and they endup with the white thing on it  on top of the scalp back in around 1999, they got very itchy and they blood and white things will be discharge from the pinples. After a few months, I went to a dermatologist, he prescribed me with antiboitic and shampoo and cream and lotion . i used them for 3 month and after i stoppped few one month after I had them back on my scalp and face.I called my dermotologist booked an apt and i saw him and said i should take accutane 40mg daily and antibiotic for 6 month and keep on using the stieprox shampoo for fungus , so i did that and i my scalp and face they got better , so after 6 month i was done my medication course went back for finale visit and he said that i am done .
after  5  to 6 month after the treatment  same issue is back i went and i saw my family Dr and he said to go back and see my dermotologist so i called book an apt , i went for my apt and same thing he want me to be back on accutane for 4 month this time and the stieprox shampoo and other shampoo brand i can't recall . so i did that and after 3 weeks my scalp face look better and after 4 month everything was cleared  saw my dermotologist and he was satisfied with the result again , so he said to stop treatment and i did.
after 4 to 5 month same issue i endup with than made me think more , went to my family Dr we talked and he recommend to see a another dermotologist than the one  i was seeing so i agree and we went through  that
same treatment for 6 month  and i did it   and after 5 to 6 month same issue i changed over 10 dermotologist  and on off on antibiotic and accutane and shamppo and lotions dalacin ....and till today's day no luck  same issue and all this dermotologist did culture and was negative result and they did alergy test negative tooo, few weeks ago as per oct 24 2009  a saw a new dermotologist she did a culture and the result endup with Citrobacter koseri  in my scalp and she said that the cause was from the antibiotic however i am still taken till now antibiotics , and she want to reffere me to another specialist who deal with the bacteria issue's so now i am waiting for my apt . honestly after all those yrs i had the worse time in my life , and i can't beleive that some dermotologist didnt care less for my situtation , i am loosing sleep and is effecting my daily life  and i am looking for a solution please helppppppp.
PS i did tryed all kind of prescription shampoo ,lotion,cream,antibiotic,accutane ,cureacne , i spend over 12000 dollars and no luck  , and i endup a one  year ago with a damaged lazy  liver i had to stop accutane and take other medication to get my liver back to normal situtation  please helpppppppppppppppppppppp

now i am under antibiotic but however not doing the job at all  and all it's doing is controlling the bumps a little. Like 1 week of the month, I will have 70% clear scalp. The other 3 weeks, I'll have 30-40 spots .
These spots are extremely painful, sometimes I can't sleep right since the scalp pushes against the pillow. I have to wait upto 3 weeks before scalp is somewhat clear so I can get a haircut, even the past few month i don't go to a barber anymore i cut mine with number one hair  cliper  

From all my research, this seems like extreme stubborn case of folliculitis, but I don't even know anymore what to do. Please, anyone out there, help me. I'm willing to pay you if you can help solve this problem


This discussion is related to Severe Scalp Folliculitis (Seen 4 Dermatologist already).
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Avatar universal
Thanks so much for your feedback.  From your photos it looks like we have the same problem indeed.  I've ordered the Kitikiti product which should arrive this week.  Will post before and after photos as well once there is a noticeable difference if any.
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13361073 tn?1431873940
I posted a couple of pictures before and after 1.5 weeks use of KitiKiti. It has helped a great deal.
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13361073 tn?1431873940
I had my hair cut short yesterday. Afterwards my barber said there was a huge improvement 50% or better. I have also been under a ton of stress. Dealing with a dying parent, busy work and busy family life. This product has minimized the flare ups as well. Myself and the barber agreed that the shampoo since it does not sit in the hair long has little effect. I have been using non prescription Nizarol. Feel free to use any shampoo. Feeling better!
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13361073 tn?1431873940
I had my hair cut short yesterday. Afterwards my barber said there was a huge improvement 50% or better. I have also been under a ton of stress. Dealing with a dying parent, busy work and busy family life. This product has minimized the flare ups as well. Myself and the barber agreed that
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Avatar universal
Thanks a lot for sharing.  Will definitely give it a try.  

Despite my skin being very oily in general, my hair feels dry & brittle, which I think doesn't help the pain in the scalp at all.   Will try your recommendation and see how it goes.  Thanks again, and please do update again.
Helpful - 0
13361073 tn?1431873940
I have been having better success with a topical product called KitiKiti . It is designed for minor scalp and skin irritations caused by fungi and hair bumps. I put it onto my scalp prior to going to bed and should I find myself itching it, I wake up and lightly re apply. My wife has taken pictures since I keep my hair short and there is a noticeable difference. I am close to finishing a 4 oz. bottle that only costed $12.99 from Amazon. I am going for a hair cut later today. Since my barber has seen it at its worse, I am interested in her reaction. My wife states it is greatly more healed, less bumpy and overall reduced. It does have a surfer smell to it but upon application feels real soothing, kind of like icy hot for a while allowing me to go to bed. There much less blood, clear puss and yellow on my pillow cases. From the pictures I can see redness is reduced. It did change the oiliness of my hair. I used to have to wash my face mid day from my scalp being oily and now I can go the whole day and my face and scalp are less oily. After my hair cut I will move on to their maximum strength version and should that be better I will re post. I am also almost done with a second prescription of Solodyn, but I do not believe it made much improvement. It may be the surfer, aloe or vitimins in this product that are working.
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