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.

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Research cited in this study

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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.

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