[40M] With chronic red sores on scalp and beard

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Folliculitis: This is an infection of the hair follicles, often caused by bacteria, fungi, or even ingrown hairs. It can result in red, pus-filled sores that can scab over. The fact that the sores improve when you shave suggests that hair follicles might be involved.

  • Treatment: Mild cases often resolve on their own. Warm compresses can help soothe the area. For more persistent cases, a doctor might prescribe topical or oral antibiotics.

• Seborrheic Dermatitis: This is a common skin condition that causes red, scaly, itchy patches, often on the scalp and face. It can sometimes lead to sores if the skin becomes irritated or infected.

  • Treatment: Over-the-counter antifungal shampoos and creams can be helpful. In more severe cases, a doctor might prescribe stronger antifungal or anti-inflammatory medications.

• Impetigo: This is a contagious bacterial skin infection that can cause red sores that burst and form honey-colored crusts. It is more common in children but can occur in adults.

  • Treatment: This condition usually requires antibiotic treatment, either topical or oral, prescribed by a doctor.

• Acne: Although more common in teenagers, adults can also suffer from acne, which can cause red, pus-filled sores. Acne can be exacerbated by certain medications, stress, or hygiene practices.

  • Treatment: Over-the-counter acne treatments containing benzoyl peroxide or salicylic acid can be helpful. For more severe cases, a doctor might prescribe stronger medications.

What you can do

While it's important to consult a healthcare provider for a formal diagnosis and treatment plan, here are some steps you can take in the meantime:

1. Maintain Good Hygiene: Wash your face and scalp regularly with a gentle cleanser. Avoid harsh scrubbing, which can irritate the skin.
2. Warm Compresses: Applying a warm, damp cloth to the affected areas can help soothe the skin and promote healing.
3. Avoid Irritants: Try to identify and avoid any potential irritants, such as certain hair products or shaving creams.
4. Over-the-Counter Treatments: Consider using over-the-counter treatments for acne or seborrheic dermatitis, such as antifungal shampoos or creams.
5. Hydration and Nutrition: Ensure you are well-hydrated and maintain a balanced diet to support overall skin health.
6. Use MDandMe: You can use MDandMe to journal your symptoms, track your progress, get insights, and share longitudinal medical notes with your healthcare provider.

What you should look out for

Seek medical attention if you experience any of the following:

• Worsening Symptoms: If the sores become more painful, spread, or do not improve with over-the-counter treatments.
• Signs of Infection: Increased redness, warmth, swelling, or pus, especially if accompanied by fever.
• Systemic Symptoms: If you develop symptoms such as fatigue, joint pain, or significant changes in weight.

Remember, while I can provide information and suggestions, it's important to consult a healthcare professional for a formal diagnosis and appropriate treatment.