How can I differentiate between psoriasis and bacterial or fungal folliculitis?

Doctor's Answers 1

Folliculitis is an inflammation of the hair follicle. This presents with small red bumps overlying the opening of the hair follicle. Folliculitis can be caused by both bacterial or fungal infection. They can look quite similar in appearance.

Psoriasis is a chronic skin disease which presents with thick scaly pink or red plaques on the body. It can often present with scaling of the scalp too which looks like dandruff. The commonest form of psoriasis is psoriasis vulgaris. In psoriasis vulgaris, the plaques are large and raised with thick overlying scales. Common sites of involvement are the elbows, knees, umbilical area and scalp but just about any part of the body can be affected. This is very different in appearance from folliculitis which presents as tiny red bumps.

There is a variant of psoriasis called guttate psoriasis. This presents with small scaly spots often on the trunk and limbs. Though smaller, they are still larger and scalier than the bumps seen in folliculitis.

If you have any doubt about your rashes, do see your doctor or dermatologist for a proper assessment and diagnosis.

Similar Questions

How much does psoriasis treatment cost?

Hello Jason, Thanks for the D2D. Psoriasis is indeed a chronic disease and you are right that you can expect to be on treatment for some time. The price of topical creams can vary depending on the type of creams used and the amount used. Topical coal tar and topical steroids are generally less expensive that the vitamin analogues. The cost of oral medications also vary depending on the medication prescribed. Methotrexate is most cost-effective treatment and cyclosporine a most expensive treatment. The price can range from $30 to 600 dollars a month.

Photo of Dr Colin Theng

Answered By

Dr Colin Theng

Dermatologist

How can I get rid of folliculitis on my chest and back?

Thank you for the question. It must be frustrating to be having recurrent folliculitis on the chest and back. The are a few possible causes of recurrent red bumps on the chest and back, including folliculitis, truncal acne and pityrosporom folliculitis (a type of folliculitis caused by a fungal infection). Sometimes, it can be a combination of the above which can make treatment tricky as treatment for one condtion can aggravate the other eg. truncal acne treatment can aggravate pityrosporum folliculitis. Pityrosporom folliculitis is also aggravated by heat and sweat.

Photo of Dr Colin Theng

Answered By

Dr Colin Theng

Dermatologist

Ask any health question for free

I’m not so sure about a procedure...

Ask Icon Ask a Question

Join Human

Sign up now for a free Human account to get answers from specialists in Singapore.

Sign Up

Get The Pill

Be healthier with our Bite-sized health news straight in your inbox