Often, the patient history and physical examination significantly narrow the differential diagnosis. The warmth also promotes blood circulation, aiding the body’s natural healing mechanisms. Mupirocin topical ointment is used to treat impetigo. Observation of the arachnid Demodex folliculorum has been reported since 1840. Curiously, the skin germ called Pityrosporum yeast and the Demodex skin mite are often involved in blepharitis, and removing. Several. Additional self-care steps to reduce symptoms caused by eyelash mites include: Use artificial tears or lubricating ointments if dry eye is a problem. Because they can be painless and often start off very small, many people do not. sensitivity to light. A clogged oil gland. 10 Bilateral eyelid mattering and eyelids sticking together,. You may have. Folliculitis refers to inflammation of the superficial or deep portion of the hair follicle. Blepharitis is a risk for developing styes. Is most commonly sited away from the lid margin. The mesenchyme gives rise to the tarsal plate, the muscles in the eyelid and. 374. If the discoloration is the same on both eyelids, not patchy or bumpy. A way to help distinguish normal from abnormal is to look at both eyelids carefully in good light. Deep Staphylococcal Folliculitis Furuncles, described as inflammatory and painful nodules topped by a pustule and with a hair in the middle, are the most frequent lesions; some days after a furuncle hasThe nictitating membrane, or third eyelid, serves to protect the globe, distribute tears, and produce immunoglobulins and part of the precorneal tear film. Benign neoplastic lesions. These mites usually live on the face, including the eyelids and. Code History. closed pimples. . Problems with your vision or ability to see colors. They may appear red, swollen, or feel like they are burning or sore. It predominantly affects males and can affect those who are clean-shaven as well as those. Overview Possible Causes Care and Treatment When to Call the Doctor Additional Common Questions. Giant papillary conjunctivitis (GPC) is when the inside of the eyelid gets red, swollen, and irritated because of: injury from contact lenses. Macules, papules, eczema, folliculitis and pigmentation have also been described. You may also experience watery eyes or blurry vision due to irritation. Itching. These appear as yellow-white elevations and are prominent on the everted upper eyelid in trachoma. use an exfoliating scrub to help release any trapped hairs. inflammation (swelling) of the eyelid. The structure of the demodex mite. 0 Entropion and trichiasis of eyelid. Enlarged follicles can be found on the eye’s conjunctiva. on October 30, 2023. Nodules are a feature of deep, follicular inflammation. I have been on antibiotics for a week and had a steroid shot a week ago as well. Summary Folliculitis is a skin disorder involving the inflammation of hair follicles. Prevalence The typical histopathologic description is lymphoid follicles in the conjunctiva, which have 3 components: Corona: the outer layer, composed of darker blue, mature lymphocytes and plasma cells. Eyelid edema is the medical term for fluid retention in the eyelid. Treatment of mites folliculitis with an ornidazole-based sequential therapy. Ectropion is a slack eyelid edge that is turned out, usually with a large notch or “crack” in the eyelid. Cysts of left lower eyelid. Face mites, also known as Demodex folliculorum (D. 53. The second eye typically becomes involved one or two days later. There were also reported cases of Demodex folliculitis mimicking acute cutaneous graft. Skin diseases originate from. Palmitic acid. Toxic Follicular Conjunctivitis. They are usually harmless, but when their numbers increase on the face, they can cause eye problems. Watery or dry eyes. by Shannon S. Eosinophilic pustular folliculitis (EPF) is a skin disorder characterized by recurring itchy, red or skin-colored bumps and pustules (bumps containing pus). Membranes Pseudomembranes occur in severe cases of ade-noviral and gonococcal conjunctivitis, ligneous conjunctivitis andHistorical management of Demodex blepharitis involves a treatment regimen that is divided into in-office care and at-home care. Characteristic signs and symptoms include eyelid margin itchiness and redness, and flakes or crusts in the lashes. It is a common abnormality affecting both eyelids in a number of dog breeds, including the Bloodhound, Bull Mastiff, Great Dane, Newfoundland, St. You may notice signs of an ingrown eyelash when the area around the eye becomes red and sore. Constant irritation can lead to eye pain, vision changes, corneal. Trichiasis results from eyelashes that are misdirected against the ocular surface. These bacteria normally live harmlessly on the skin, but they can cause infection if the skin is damaged. acneiform eruption, and purpura. 1 Specific to the eye, they have been implicated in diseases of the eyelid and lid margin, including blepharitis and meibomian gland dysfunction (MGD). To use tea tree oil for eyelash mites, place a small amount of the oil solution on a cotton swab and dab it on the eyelashes, eyelids, and base of the eyelash follicles. There are more active lash follicles in the upper lid compared to the lower lid (41% vs. Although inflamed follicles are usually seen on the eyelid’s conjunctiva, they can also appear on the conjunctiva above the sclera. If you have a large area of folliculitis, you can try using wet wraps to help soothe the skin and reduce inflammation. [ 1, 2] Demodex infestation usually remains. When the eyelids are inflamed due to Meibomian gland dysfunction for long periods of time, the eyelash follicles can be disrupted causing the eyelashes to grow in the wrong direction. The warm cloth is then applied and compressed on the skin, wound, or other site. illustration on isolated background. These eyelid bumps usually start as a small red bump on the eyelid — most commonly along the lash line. Once the bump drains, keep the area clean and keep your. 20 Other cutaneous adverse effects include folliculitis, periocular dermatitis, delayed wound healing,. Answer: It should not have any affect on eye lash regrowth. The result is a painful lump on the edge of your eyelid. 4. 1% for adults and children 16 years and older. Blepharitis is inflammation of the eyelid margins that may be acute or chronic. ) 1. folliculorum) are microscopic tick-like organisms. 374. Boils and. Later, corneal neovascularization and scarring of the conjunctiva, cornea, and eyelids occur. H10. 5% proparacaine. folliculorum mites live in or around hair follicles, feeding on the dead skin cells, oils, and hormones that build up there. Eyelid swelling They have been associated with acne vulgaris, folliculitis, rosacea, seborrheic dermatitis and hair loss among other conditions. That causes an itchy, irritating condition called demodicosis. Pemphigoid. We study 20 people who have Eyelid folliculitis. Seborrheic blepharitis is often found with seborrhea of the scalp and eyebrows. Applying a clean, warm compress to the affected eyelid for 10-15 minutes several times a day can help reduce pain and swelling. Diaper occlusion may have been related to onset of the rash. Eyelid scrub: Following a warm compress, a scrub of the eyelid can help remove bacteria and debris. What is folliculitis in the eye? The definition of folliculitis on the eye is very simple: it's about the presence of small round structures, translucent and surrounded by a vascular network in the conjunctiva of the eye and the eyelids. Your doctor might use a special magnifying instrument to examine your eyelids and your eyes. This is the American ICD-10-CM version of L73. Candida is a yeast (a type of fungus) that lives on the skin and can cause an infection. It is a localized bump on the eyelid (upper or lower), caused due to infection and pus formation in one or more glands. Blepharitis. In this article, we shall look at the anatomy of the eyelids – their layers, vasculature and innervation. A stye is a sore and red lump near the edge of an eyelid. Squamous cell carcinomas, which are more common in white cats with noncolored eyelid edges, can involve the eyelids, conjunctivae, and the third eyelid. Infection commonly produces nodules on the skin of the face, abdomen, legs, arms, neck, and genital area. Folliculitis describes infection that originates within a single hair follicle, usually caused by a bacterial infection with Staphylococcus aureus. Loose skin around the eye. the most common site of presentation is the “head and neck,” including the lip and eyelid. A stye is an inflammation of the oil gland. rinse the razor after every stroke. . Folliculitis is a common skin condition that happens when hair follicles become inflamed. Repeat this cleansing process twice a day until your treatment is complete. “A healthy eyelid helps produce healthy follicles and therefore healthy strands,” says Engelman. 11 to ICD-10-PCS. The most common signs of periorbital cellulitis are: Redness and swelling around the eye. 3 More than 98% of styes are caused by Staphylococcus aureus. A child with diabetes or weak immune systems is more at risk. The medical term for this is trichiasis. In acute ulcerative blepharitis, small pustules may develop in eyelash follicles and eventually break down to form shallow marginal ulcers. Palmitic acid. Symptoms. eye redness. There were 10 to. These symptoms are due to the eyelash follicles becoming inflamed. Blepharitis can be divided into anterior and posterior according to anatomic location, although there is considerable overlap and both are often present. Symptoms of Eyelid Tumors in Cats. Acute follicular conjunctivitis is. Allergies. 4 mm in the lower lid. The actual type of inflammatory cells can vary and may be dependent on the etiology of the folliculitis, the stage at which the biopsy specimen was obtained, or both. Most cases of folliculitis go away without treatment. 6 billion business by 2025. Eyelid redness – Lid margin inflammation, evidenced by red eyes and eyelids, is a frequent complaint of patients with Demodex blepharitis. Folliculitis, boils, and carbuncles are types of infections of 1 or more hair follicles. The bumps may look similar to acne and may contain pus. Usually harmless, these fluid-filled sacs grow on the follicles where the egg develops during the follicular phase of the menstrual cycle. This medicine is available only with your doctor's prescription. Allergic Reactions. Usually harmless, these fluid-filled sacs grow on the follicles where the egg develops during the follicular phase of the menstrual cycle. hold a cool, wet cloth to your skin after shaving to reduce irritation. Styes are discolored, swollen bumps on the eyelid. Conjunctivitis. Face mites, also known as Demodex folliculorum (D. Demodex blepharitis, also known as ocular demodicosis, is an inflammation of the hair follicles of the eyelids associated with high populations of demodicid mites. The eyelids become irritated, red, and swollen and may burn and itch. The eyelid is a complex structure, composed of skin, orbicularis muscle, tarsus, and conjunctiva. ” (1)Blepharitis is associated with health issues like scalp. A stye is an inflammation of the oil gland. Answer: Eyelid rash or infection after laser resurfacing regardless of cause, if an eyelid rash whether infected or not, is not improved and swelling increases with or. They have typically tried artificial tears to reduce redness, to no avail. There are two types of these mites that can live on the face: Demodex folliculorum and Demodex brevis. How do clinical features vary in differing types of skin?Irritant contact dermatitis of the eyelid can be caused by either a physical trigger or an external irritant. Eyes of a young woman with symptoms of Demodicosis. A blocked oil gland on your eyelid. Basic Information Definition. Crusty red edges on your eyelid. The sclera is the white ocular surface. Styes are usually infected eyelash follicles. Distinctive signs: contact dermatitis of eyelids with erythema, scaling in some cases. But it isn’t contagious, and it usually doesn’t cause any lasting damage to your eyes. 20 Removal of lesion of eyelid, not otherwise specified convert 08. In some cases, the person may report initial discomfort which then resolved. A number of factors that lead to inflammation of the eyelid and crusty eyelashes can cause it. 20 Other cutaneous adverse effects include folliculitis, periocular dermatitis, delayed wound healing,. Demodecosis. Bumps ( pimples, whiteheads, blackheads, and pustules) on your skin can be different shapes and sizes. It rarely causes more severe problems. Fig 1 – The upper and lower eyelid. Not all redness is cause for alarm, however, as it can result simply from anxiety or excitement. Conjunctivitis is also commonly known as " pink eye . Another type of superficial folliculitis caused by staphylococci is a sty, which only differs from typical folliculitis in that it occurs on the eyelid. The eyelid is frozen to remove the hairs. It can spread easily but is usually mild and goes away within a few weeks. Contents of chalazion are curetted, and tarsus may be. eyelids-protect the eyes from foreign objects-blink to move tears across the eyes' surface and sweep debris away-close in sleep to keep out visual stimuli-covered in the body's thinnest layer of skin. 19 Other diagnostic procedures on eyelid convert 08. Follicular conjunctivitis occurs when follicles — collections of immune cells located on the conjunctiva and under the eyelid — become enlarged and. Annie Summers. Bacterial folliculitis, rosacea, and other common skin conditions have been linked to infestation by Demodex mites (human demodicosis). Gently wash the eyelids and eyelashes with baby shampoo. Symptoms and causes. 5 mm in diameter. One tool that doctors use to describe the stage is the TNM system. Mupirocin topical ointment is used to treat impetigo. sutures (stitches from surgery) Without GPC, the inside of your eyelid is very smooth. 5 mm in diameter. S. Scales or crusts may be seen on the lid margins. Symptoms of eyelid inflammation Eyelid inflammation is usually noticeable because it can. Sometimes, bacteria get. Madarosis is usually reversible, but losing your hair faster than usual is a sign that something is affecting the hair follicles in your eyebrows or eyelids. Folliculitis causes itchy bumps that may have a red ring around them. redness and swelling of the eyelids. Dermatitis (eyelids) Dermatitis (face). An eye. The patient's eyelids typically itch or burn, become reddened, and are often characterized by accumulations of waxy or gelatinous debris at the base of the eyelashes. Diagnostic accuracy—putting a name to the diagnosis—is the first step in a successful therapeutic strategy. During ovulation, the follicle releases an egg from one of the ovaries. 012 may differ. They live in the hair follicles in your skin, especially around the eyelids and lashes, and feed on dead skin cells and oils. " The conjunctiva is a fine, transparent layer of tissue. [1] Ocular MC typically results in eyelid nodules, but can affect the conjunctiva through a. 4 These pus-filled abscesses can appear quite suddenly and can run the gamut from small self-limited infections that produce. Excessively washing your hands with hot water and soap. twitching or blinking from time to time – often when you're tired. Blepharitis Causes. Chalazia commonly present as a nodule of an eyelid. ICD-10-CM L73. Apply the ice pack for 10 to 15 minutes several times daily. Folliculitis means an inflamed hair follicle due to any cause. Inflammation — intense. A swollen eyelid is often a symptom of another medical condition, including: Allergies. An ingrown eyelash can touch the eyeball, irritating the. • Radiofrequency ablation of lashes and follicles is a simple yet effective method which can be performed under local anaesthesia. The follicles appear as gray-white, round to oval elevations which measuring between 0. Picture of a stye (staphylococcal folliculitis) on the lower eyelid. For straining or a skin injury, you may not need any treatment. These swellings can contribute to further inflammation. Acne: The cause is clogged oil-producing (sebaceous) glands. Doxycycline capsules, delayed-release capsules, delayed-release tablets, and tablets and Acticlate®. La Follicular conjunctivitis is a type of conjunctivitis that occurs due to the presence of lymphoid follicles in the conjunctiva. 9 These products often contain harmful chemicals, some of which can induce hypersensitivity reactions or destroy meibomian glands. A person may get an ingrown eyelash when the eyelash grows in the wrong direction, toward the eye. Abnormal growth of eyelashes due to scarring of the eyelid margins. A bump can erupt as a result of folliculitis or bacterial infections on the eyelash line or waterline. There are two types of styes: External styes. Medication -induced keratoconjunctivitis Laterality based on drug use. It borders the inner eyelid and spans the sclera. At first it may look like small pimples around the tiny pockets from where each hair grows (hair follicles). Then, hair shafts on the lid margin were redirected upward and glued to 2 bars extending horizontally across the. Disorders that may cause blepharitis include bacterial (typically staphylococcal) infection of the eyelids or the ducts of the deeper glands that open at the edges of the eyelids, certain viral infections (usually herpes simplex Herpes Simplex Virus (HSV) Infections Herpes simplex virus infection causes recurring episodes of small, painful, fluid-filled blisters on. Candidemia has become increasingly prevalent in the hospital setting as a complication of surgery and with increased use of parenteral nutrition, central venous catheters, and treatment with broad spectrum antibiotics. as well as smear the lid cleanser onto the eyelash roots of both the upper and lower eyelid margin. Predisposing factors to ingrown hairs include; shaving, over bathing your dog or applying improper grooming techniques for your dog. Such follicles contain oil glands. Oil glands (meibomian glands) run along the edges of the eyelids, and when these glands become irritated or inflamed, the oil secretions thicken and do not flow properly. a small spot of pus, similar to. (Source: Dermnet) Molluscum contagiosum (MC) is a DNA virus that infects skin and mucous membranes, resulting in characteristic dome-shaped umbilicated nodules. Keratosis pilaris is a very common, dry skin condition caused by keratin accumulation in the hair follicles. Ocular candidiasis is a well-known complication of candidemia. The left third eyelid had a larger protrusion. Blepharitis: scaly red eyelid margins; Salmon-pink, thin, scaly,. Reheat the washcloth as needed when it cools down. com Follicular conjunctivitis is the swelling or inflammation of the conjunctiva in the eye. Infectious lesions include verruca vulgaris, molluscum contagiosum, and hordeolum. They originate from hair follicles, sweat glands, sebaceous glands, and accessory lacrimal glands. Figure 8-1 Diagram of the eye showing normal position of the third eyelid. The light energy is converted to heat, which damages the tube-shaped sacs within the skin (hair follicles) that produce hairs. Even so, many people prefer waxing because of its longer-lasting results and because it is relatively inexpensive and easy to. There was no apparent associated ocular or systemic involvement. Skin biopsies of this disorder find eosinophils (a type of immune cell) around hair follicles. When an eyelid tumor is small, it may be difficult for you to spot it on your cat, however as it grows larger, it becomes more obvious and starts to interfere with the cat’s blinking as well. eyelashes-strong hairs that help keep debris out of the eyes-arise from hair follicles with their sebaceous glands on the edge of the lids. This acts as an emollient. Lash mites or eyelash mites (also known as Demodex folliculitis) are microscopic parasites found in the follicles on our faces. This is usually done with an antimicrobial shampoo that is applied to the coat. 4 became effective on October 1, 2023. These appear as yellow-white elevations and are prominent on the everted upper eyelid in trachoma. Folliculitis is an infectious condition of hair follicles. These tests might include: See full list on medicalnewstoday. This is a procedure where the eyelid is rolled outwards and tacked. It may look like a pimple at the base of your eyelashes. It can cause: itching. Burning and foreign body sensation especially upon waking. It is a medium-to-high range potency corticosteroid that is only available on prescription. brevis), a second type, usually lives on thin,. The infection can spread and turn into crusty. Styes are the result of bacterial infection of the small oil-producing meibomian glands or the eyelash follicles at the margin of the eyelid (Fig. Find the perfect folliculitis stock photo, image, vector, illustration or 360 image. An argon laser was the first type of laser used to treat trichiasis. The pilosebaceous unit of the follicle is divided into three compartments: the infundibulum (superficial part, outlined by the sebaceous duct), the isthmus (between the sebaceous. A yellowish to brown color of your skin on the eyelids and other body areas may be perfectly normal for you. People who wear contact lenses (especially soft lenses) have the greatest chance of getting GPC. RF2K5HCFX – Swollen lower eyelid of Asian young woman. There are two types of these mites that can live on the face: Demodex folliculorum and Demodex brevis. Folliculitis is an inflammatory reaction in the superficial aspect of the hair follicle and can involve the follicular opening or the perifollicular hair follicles. g. ”. Eyelids that are persistently red, inflamed or itchy are signs of a common eye condition called blepharitis. The third eyelid (or nictitating membrane) is a mobile, protective, and glandular structure lying between the cornea and the lower eyelid in the medial portion of the inferior conjunctival sac (Figure 8-1). Acute hemorrhagic conjunctivitis (AHC) is an extremely contagious form of viral conjunctivitis. Touching mucus from the nose and then rubbing the eye is one. •Folliculitis affects the openings. 01 to ICD-10-CM. The general biology of the human lash. They can occur in follicles at the base of an eyelash, or in glands on the inside of the eyelid. Blepharitis is a common eye disorder. 15, 2022. They may be red or purple, and the skin may seem inflamed and feel tender. Be sure to remove any excess oil. Researchers have suggested that it can be considered the most “under-diagnosed, undertreated and underappreciated eye disease worldwide. 00 to ICD-10-CM. Patients with demodicosis may have eye irritation, itching and scaling of eyelids (blepharitis or eyelid dermatitis). In the office, D folliculorum can be lured to the follicle surface with the use of volatile fluids, such as ether (not allowed in the United States), brushed vigorously across the external lid margin, following 0. Extensive seborrheic dermatitis affecting the scalp, neck, and trunk is sometimes called pityriasiform seborrhoeide. Folliculitis and mild furuncles may go away with no treatment. try a different hair removal method. Eye makeup, allergies, and injury can all cause irritation. The conjunctiva, which lines the inner eyelid and white of the eye, also becomes red and inflamed. Applying a surface medication will eliminate organisms and debris from the skin's surface. The most common form of superficial folliculitis is called Barbers itch and is caused by Staphylococcus aureus bacteria. I examined 100 biopsies of eyelid skin for the presence of these mites. Keep skin moisturised. The 2024 edition of ICD-10-CM L66. Convert L73. To do this, soak a clean cloth in warm water and wring out the excess moisture. pull your lower eyelid down gently with your index finger to form a pocket – tilt your head back slightly and look up. Damaged. Three of these diseases are together known as the follicular occlusion triad. The actual type of inflammatory cells can vary and may be dependent on the etiology of the folliculitis, the stage at which the biopsy specimen was obtained, or both. A probe is used on the inner surface of the eyelid where the hair follicles are present. Eyelash mites, or Demodex mites, are tiny parasites that live in eyelash follicles. Demodex mites are tiny, cigar-shaped bugs. Eyelid agenesis, or eyelid coloboma, is the most common congenital eyelid disease of cats. See what folliculitis looks like in our visual guide to children's rashes and skin conditions. Up to 70% of blepharitis cases may be due to Demodex infestation. HIV-associated eosinophilic folliculitis appears as 2–3 millimeter swollen, itchy papules. It manifests by foreign body sensation, profuse tearing, eyelid edema, dilatation of conjunctival vessels, chemosis, and subconjunctival hemorrhage. The eyelids are split into upper and lower portions, which meet at the medial and lateral canthi of the eye. brevis), a second type, usually lives on thin,. By. Dear Reader: Eyelash mites, also known as Demodex mites, are a type of eight-legged parasite. Folliculitis describes infection that originates within a single hair follicle, usually caused by a bacterial infection with Staphylococcus aureus. Certain conditions increase your risk of developing trichiasis: Epiblepharon. Moderate to severe furuncles and carbuncles are treated with incision and drainage. The tiny ducts through which tears leave the gland of the third eyelid exit between the lymphoid follicles on the surface of the third eyelid, allowing these cells to dump their contents into the. Eosinophilic pustular folliculitis (EPF) is a skin disorder characterized by recurring itchy, red or skin-colored bumps and pustules (bumps containing pus). The underside of the. Applying a surface medication will eliminate organisms and debris from the skin's surface. Other times, it may result from an over-population of microscopic mites living inside the eyelash follicles. The rate of Demodex infestation increases with age, being observed in 84% of the general population aged 60 years and 100% of the general population aged above 70 years. Folliculitis, furuncles, and carbuncles are skin infections caused by bacteria. Thyroid eye disease. Cystic lesions may occur due to duct obstruction, trauma, surgery, or inflammatory process. This finding is almost always an indication of a viral infection of the eye. Folliculitis is defined histologically as the presence of inflammatory cells within the wall and ostia of the hair follicle, creating a follicular-based pustule. (Modified from Evans HE [1993]: Miller’s Anatomy of the Dog. The classic clinical findings of superficial folliculitis are folliculocentric, inflamed papules and/or pustules on hair-bearing skin ( picture 1A-C ). Discussion. The warm cloth is then applied and compressed on the skin, wound, or other site. Some believe that Demodex mites can occasionally cause a type of eyelid inflammation known as blepharitis , particularly in people who are older or have compromised immune systems. Tinea barbae. It is caused by an infection at the base of an eyelash (in the follicle). Disorders of the scalp can result from a wide variety of inflammatory, infectious, parasitic, neoplastic, and idiopathic dermatologic or systemic disorders. 1 became effective on October 1, 2023. Infection with a virus. Tests and procedures used to diagnose blepharitis include: Examining your eyes. For eyelid melanoma staging, read the main melanoma staging section found on this website. Soaps, detergents, bleach. Symptoms: hyperemia, chemosis, watery discharge, photophobia and periorbital pain. Blepharitis is inflammation of the eyelid margins that may be acute or chronic. Histology: Perifollicular granuloma; several follicular mites detectable. Giant papillary conjunctivitis (GPC) is the formation of papillae, or bumps, under the upper eyelid. skin flaking around the eye. Folliculitis. Most dermoid cysts are found on face, neck, scalp; often around eyelid, forehead and brow. Eyelids contribute to the facial identity and beauty of the person. These microscopic mites feed off dead skin cells around the hair follicles on your eyelids. Tiny mites, called Demodex folliculorum, live in the hair follicles on human skin. 4 may differ. Folliculitis can occur in children or adults, but is uncommon before age 2. In most scenarios, it will take between 6 weeks and 3 months for eyelashes to fully grow back. 1 may differ. Soaking in hot tubs which haven’t been properly cleaned. It’s the most common cause of dry eyes. Use anti-dandruff shampoo on the scalp. [1]: 649 [2]: 760–1 It begins at a central point and spreads outward, leaving scarring, sores, and, due to the inflammation, hair loss in its wake. Demodex folliculitis, meaning inflammation of the follicle due to.