As a teen I had very bad face and back Acne which cleared up pretty well by age 18. About 35 years ago at age 35, I noticed small pustules on my scalp, especially in the lower back area. I spent many hours scratching at these and their subsequent scabs, a practice which of course led to further pustules. I couldn't stop scratching though even though I often found difficulty in going to the barber. In desperation, I went to a dermatologist about 30 years ago, and she prescribed a course of Antibiotics for six months during which time my infection seemed to disappear. However, in time it reoccurred. Occasional doses of Antibiotics would clear the infection but only for a short period.
Once again, last year, I sought guidance from a dermatologist. He said not to use Antibiotics as they are a temporary solution. He suggested I should not pick the scabs and keep my fingers away from scalp altogether. The likely cause of my pustules was staph which I transferred to my scalp, likely from my nose, where most people have this bacteria. He also prescribed a sulfur solution to apply to the scabs so they would dry, peal, and heal more quickly. This solution works well.
COMPONENTS OF MY CURE
1 per cent sulfur in dilusol lotion prescription (This I just mentioned.)
1 per cent clyndamycin solution prescription
Head and Shoulders shampoo
Purell lotion (kills staph bacteria.)
Dental floss picks.
Clean towel daily
A fine bristled brush
This is my daily routine. In the morning, I wet my hair liberally with Purell and then brush it through for about a minute. At some point during the day, I'll use the Qtips to apply the sulfur solution to any scabs, although I have few if any. In the evening, I shower, shampoo with Head and Shoulders, and dry my hair with the clean towel, being certain not to use it for any other body areas. I finish drying my hair using the hair dryer on high. Then I again apply Purell using the brush as before. I also apply Purell to the inside of my nostrils using a Q-tip. This last step may be the most important!
I use the topical Antibiotic if I feel I may be developing a pustule using a Q-tip as an applicator.
If a pustule develops, I use a dental pick cleaned with Purell to pierce it. I then clean the area with more Purell and apply some antibiotic, even though the last dermatologist said not to use it.
Bottom line there is no cure. However if you can control the staph bacteria, you can control folliculitis to a large extent. My scalp is at least 90 per cent better by my doing what I described.