The most evident symptom of gram-negative folliculitis is the rapid rise in the amount and severity of acne lesions, regardless of any antibacterial treatment. Those who previously suffered with whiteheads and blackheads, will often develop many cysts, nodules and pustules, particularly affecting the face.
Gram-negative folliculitis appears primarily on the face, especially grouped around the cheeks, chin and nose. Typical is the development of many lesions that burrow and interconnect, giving the skin an appearance of redness and inflammation that can be extremely painful.
The treatment of gram-negative folliculitis can be very difficult as it occurs as a result of bacteria that are resistant to antibiotics. Although this is the case, antibiotics such as ampicillin may still be prescribed, even though the effectiveness is open to debate.
The preferred treatment of gram-negative folliculitis is isotretinoin, prescribed as Accutane, which is derived from vitamin A, and has had some success in treating many types of acne, including gram-negative folliculitis. It works by reducing the production of sebum, thus reducing pore blockage. It also dries out the mucous membranes, the normal environment of gram-negative bacteria, therefore reducing its ability to thrive. When taken for a period of 3 to 6 months, many people see a marked improvement in their condition.
Although Accutane and antibiotics can be successful, many sufferers still prefer a more natural approach to their gram-negative folliculitis treatment.