The Clinicopathological Spectrum of Preclinical Folliculitis Keloidalis with Correlation to Its Dermoscopic Features: A Cross-Sectional Analytical Study

September 2023 in “ International Journal of Dermatology ”

Arifa Parker, M Parker, Johann Schneider, Harold Jordaan, Willem I. Visser

folliculitis keloidalis dermoscopy follicular debris fibrosis follicular scale nuchal area perivascular dermatitis folliculocentric inflammation FK

TLDR Early detection and treatment of folliculitis keloidalis can prevent disease progression.

This study on preclinical folliculitis keloidalis (FK) in 28 male patients with afro-textured hair highlights the importance of early detection through dermoscopy, revealing features such as follicular debris, fibrosis, and follicular scale. The nuchal area was universally affected, with extra-nuchal involvement in 57.1% of cases. Histopathological analysis showed perivascular dermatitis and folliculocentric inflammation. The study emphasizes the chronic nature of FK, with an average disease duration of 7.6 years, and underscores the need for better education and timely dermatological referral to prevent disease progression. Despite its small sample size and unvalidated questionnaires, the study suggests that early treatment could be beneficial.

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