Exuberant Tufted Folliculitis

February 2019 in “ Anais brasileiros de dermatologia/Anais Brasileiros de Dermatologia ”

Paulo Müller Ramos, Hélio Amante Miot

folliculitis decalvans cicatricial alopecia polytrichia tufted folliculitis inflammatory infiltrate

TLDR Tufted folliculitis is common in patients with folliculitis decalvans.

The document described a case of a 40-year-old African-American man with a 5-year history of pustules and crusts on the scalp, diagnosed with folliculitis decalvans. The condition involved extensive atrophic patches of cicatricial alopecia and polytrichia, with more than 30 hairs emerging from one follicular orifice. Histopathological examination showed polytrichia and an intense inflammatory infiltrate. The article discussed the controversy over whether tufted folliculitis (TF) is a specific disease or a manifestation of various alopecia causes. It suggested that the term TF could be replaced with polytrichia for clarity. Despite the debate, TF was frequently observed in patients with folliculitis decalvans, with 88% of 82 patients in a retrospective study presenting with TF.

View this study on scielo.br →

Discuss this study in the Community →

Research cited in this study

2 / 2 results

research Folliculitis Decalvans: A Multicenter Review of 82 Patients

68 citations, February 2015 in “Journal of the European Academy of Dermatology and Venereology”

Early onset and pustules indicate severe hair follicle inflammation, and while antibiotics help, the condition often worsens after treatment stops.

research An Atlas of Hair Pathology with Clinical Correlations

45 citations, May 2012 in “CRC Press eBooks”

The book helps doctors better understand and treat hair disorders due to gaps in their training.

Related Community Posts Join

6 / 52 results

community Diffuse hair loss and scalp biopsies

in Research 692 upvotes 4 months ago

Scalp biopsies are crucial for diagnosing hair loss conditions like Diffuse Unpatterned Alopecia (DUPA) and retrograde hair loss, as treatments like finasteride and dutasteride may not be effective if other conditions are present. Combining PPAR-GAMMA agonists with retinoids could improve treatments for conditions like Lichen Planopilaris.

community The Worst Hair Loss Condition You (MAY) have: LPP

in Research/Science 43 upvotes 3 months ago

Lichen Planopilaris (LPP) is an autoimmune condition causing permanent hair loss and fibrosis, often misdiagnosed. Treatments include pioglitazone, topical corticosteroids, anti-inflammatory medication, and Jak inhibitors.

community Seb derm regrowth progress? I think? Or am I just seeing what I want to see?

in Is this regrowth? 48 upvotes 8 months ago

A person with hair loss due to seborrheic dermatitis saw improvement after treating the condition and using 5mg oral minoxidil, topical minoxidil, collagen, biotin, and vitamins. They are asking if the progress is real, and others have noted the oral minoxidil as a significant treatment.

community Eliminating scalp itch leads to regrowth (and my RU58841 progress)

in Research/Science 63 upvotes 1 year ago

User experienced hair regrowth after eliminating scalp itch with RU58841. Others discussed itch and hair loss connection, and effectiveness of combining RU58841 with 5AR inhibitors.

community How I paused my hair loss by curing seborrheic dermatitis

in Treatment 104 upvotes 1 year ago

User Wonderful_Tonight910 suffered from hair loss and seborrheic dermatitis for years. After using irritant-free shampoo, their scalp improved, hair loss stopped, and new hair growth appeared.

community I tried salt water to stop the DHT itch

in Treatment 60 upvotes 2 years ago

Treating the itch associated with male pattern baldness, which is believed to be caused by DHT. Potential treatments discussed include salt water, finasteride, ketoconazole, and RU58841.

Similar Research

5 / 1000+ results

research Cicatricial Alopecia: Overview and Treatment Options

1 citations, October 2018 in “InTech eBooks”

The document concludes that treatments for cicatricial alopecia are not well-supported by evidence, but hair transplantation shows more predictable and satisfactory results.

research Folliculitis Decalvans: A Case Report of Satisfactory Recovery After Implementing Isotretinoin Therapy

August 2022 in “Case reports”

Isotretinoin effectively treated a rare scalp condition, but careful drug monitoring and a dairy-free diet were important.

research Central Centrifugal Cicatricial Alopecia

72 citations, July 2008 in “Dermatologic Therapy”

CCCA is a scarring hair loss condition mainly in African descent women, possibly caused by genetics and hairstyling, treated with gentle hair care and medications.

research Primary Cicatricial Alopecia

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.

research Folliculitis Decalvans: A Rare Inflammatory Scalp Disorder

112 citations, July 2008 in “Dermatologic Therapy”

Folliculitis decalvans is a rare scalp condition causing scarring hair loss, treated with long-term antibiotics and other medications, but it often comes back and is hard to manage.