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.