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Published in Ashfaq A Marghoob, Ralph Braun, Natalia Jaimes, Atlas of Dermoscopy, 2023
Anna Waśkiel-Burnat, Lidia Rudnicka, Małgorzata Olszewska, Adriana Rakowska, Ralph M. Trüeb, Isabel Kolm
Folliculitis decalvans represents chronic and recurrent pustule-follicular scalp inflammation resulting in scarring alopecia. It usually presents in the central scalp area with exudative crusted areas and grouped follicular pustules at the hair-bearing margin with centrifugal progression. Histopathology reveals a neutrophilic scarring alopecia.66 Trichoscopic features of folliculitis decalvans include severe scaling and crusting, pronounced hair tufting (Figure 11e.23), follicular pustules (Figure11e.15), numerous coiled capillary loops (Figure 11e.15), loss of follicular ostia, and white dots.34
Hair and hairy scalp
Published in Richard Ashton, Barbara Leppard, Differential Diagnosis in Dermatology, 2021
Richard Ashton, Barbara Leppard
Folliculitis decalvans is a rare condition in which there is an abnormal host reaction to an infection with Staphylococcus aureus. There is a slow progressive scarring alopecia with pustules and crusts around the affected hairs.
Trichoscopy II: Cicatricial Alopecia
Published in Rubina Alves, Ramon Grimalt, Techniques in the Evaluation and Management of Hair Diseases, 2021
Bruna Duque-Estrada, Rodrigo Pirmez
Folliculitis decalvans (FD) is a chronic severe inflammatory disorder that results in cicatricial alopecia. The scalp shows multiple recurrent papulo-pustular lesions and exudative crusted areas. As hair follicles are destroyed, inflammation decreases, resulting in variable degrees of scarring alopecia.
Dermatological indications for the use of isotretinoin beyond acne
Published in Journal of Dermatological Treatment, 2018
Emily Forbat, Faisal R. Ali, Firas Al-Niaimi
A retrospective study of 28 patients with folliculitis decalvans, reviewed which treatment modalities had the best outcome using either clindamycin and rifampicin, clarithromycin, dapsone or isotretinoin. Isotretionin treatment was the most successful with 90% of patients remaining in remission 2 years post-treatment cessation (50).
Recommendations on trichological treatments during COVID-19 pandemic
Published in Journal of Dermatological Treatment, 2022
Alfredo Rossi, Francesca Magri, Gemma Caro, Alessandro Federico, Marco Di Fraia, Marta Muscianese, Maria Caterina Fortuna, Marta Carlesimo
Systemic antibiotics are commonly administrated in trichological diseases. Minocycline, doxycycline, and azithromycin are used for the treatment of folliculitis decalvans (FD), Dissecting Cellulitis (CD), and scalp furuncolosis.