Early detection is important to prevent progression of the condition and salvage hairs. Treatment is aimed at reducing the amount of inflammation so the bumps smooth down and the hairs regrow. If the inflammation is longstanding, hair regrowth may not be possible. Treatments include intralesional steroid injections, oral anti inflammatory medications, and topical steroid creams and solutions which can help with reducing the appearance and the symptoms of the affected area. Mild cases can be treated with topical benzoyl peroxide wash and acne medications. More advanced cases may still require systemic treatment in conjunction with surgical excision of areas. It is important to know when surgery is performed, hair cannot regrow into that area due to scar tissue. Additionally, new lesions may occur if the inflammatory process continues after surgery.
While close shaves are not a direct cause for the condition, I recommend patients to avoid irritation to the area during the acute treatment course (1-3 weeks). After that I advise patients to make sure they do not feel discomfort or too much heat when getting their hair cut. If hair is not desired in the affected area, laser hair removal is an option to help with reducing triggers of inflammation. Close monitoring and follow up is warranted to shut down any inflammation to halt the progression of the condition.
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