TLDR Researchers found that dissecting folliculitis of the scalp is linked to obesity, severity increases with duration and number of nodules, and early treatment is important to prevent scarring.
In a retrospective study of 66 patients (63 men and 3 women, mean age 24.9 years) with Dissecting folliculitis (DF) of the scalp, researchers in Taiwan found that the condition was not uncommon and may be associated with obesity, as 29 of 45 patients were observed to be obese. The disease severity was linked to longer disease duration and a greater number of nodules. A complete remission rate of 25% was achieved with any treatment, and 37.5% with oral isotretinoin alone. Histopathological examination showed lymphocytes as the main inflammatory cells in the acute stage. The study proposed a classification and treatment algorithm, suggesting oral doxycycline or minocycline for mild cases and oral isotretinoin for severe cases, with additional therapies like intralesional steroid injections and short-term oral prednisolone. Surgical interventions were considered for advanced stages to prevent scarring alopecia. The findings highlighted the importance of early diagnosis and treatment to prevent scarring.
65 citations,
November 2016 in “Journal of The American Academy of Dermatology” The document concludes that early recognition and treatment of primary cicatricial alopecia is crucial to prevent permanent hair loss.
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January 2019 in “Springer eBooks” Hidradenitis Suppurativa is a chronic skin condition best treated early with surgery for better outcomes and less recurrence.
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January 2024 in “Curēus” Upadacitinib significantly improved a man's severe scalp condition when other treatments failed.
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July 2012 in “British journal of hospital medicine” The guide helps clinicians diagnose and manage hair loss, detailing examination techniques and treatments for different types of alopecia.
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April 2014 in “Medical Clinics of North America” The document concludes that quick referral and appropriate treatments are crucial for managing common skin conditions and preventing permanent damage.
