A Case of Folliculitis Decalvans With Concomitant Acne Keloidalis Nuchae, Androgenic Alopecia, and Profound Postinflammatory Hyperpigmentation

    May 2019 in “ Journal of the Dermatology Nurses’ Association ”
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    TLDR Folliculitis decalvans mainly affects middle-aged African American men and is treated with antibiotics.
    The document presented a detailed review of folliculitis decalvans (FD), including its pathophysiology, clinical manifestations, diagnosis, and treatment, illustrated by a case study involving a patient with concomitant acne keloidalis nuchae, androgenic alopecia, and profound postinflammatory hyperpigmentation. FD predominantly affected middle-aged African American men and was characterized by red patches of scarring and follicular hyperkeratosis, primarily on the scalp. Staphylococcus aureus was implicated in its pathogenesis. Effective first-line therapy included oral tetracyclines, with severe or refractory cases requiring combination antibiotic therapy. The document also highlighted the importance of treating underlying inflammatory conditions to manage postinflammatory hyperpigmentation.
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