What is herpetic folliculitis?

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Last updated: May 8, 2025View editorial policy

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From the Research

Heretic folliculitis is not a recognized medical condition in dermatology, and the correct term is likely "herpetic folliculitis," which is a viral infection of hair follicles caused by the herpes simplex virus. The term "heretic folliculitis" appears to be a misunderstanding or misspelling.

  • Herpetic folliculitis is a viral infection that requires antiviral treatment, not antibiotic treatment.
  • The most effective treatment for herpetic folliculitis is oral antiviral medications, such as valacyclovir, which has been shown to be more efficacious than famciclovir in the treatment of herpes zoster, a similar condition 1.
  • Valacyclovir (1g twice daily for 7-10 days) is the recommended treatment for herpetic folliculitis, as it has been shown to provide significant benefit in resolving zoster-associated pain and maintaining a favorable safety profile 1.
  • Acyclovir (400mg three times daily for 7-10 days) and famciclovir (250mg three times daily for 7-10 days) are also effective treatments, but valacyclovir is preferred due to its higher efficacy and better safety profile.
  • Topical treatments are generally less effective for this condition, and intravenous antivirals may be necessary for severe cases.
  • It's essential to start treatment early for best results, and personal hygiene measures like keeping the affected area clean and avoiding sharing personal items can help prevent the spread of the infection.
  • If you experience recurrent episodes, suppressive antiviral therapy might be recommended, and the choice of antiviral medication should be based on the individual patient's needs and medical history 2.

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This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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