Folliculitis Decalvans: A Review of Current Treatment Modalities

    Wiktoria Julia Krzesłowska, Kamila Szewczyk, Paulina Pytel, Bartłomiej Szewczyk, Szymon Wiśniewski, Weronika Hołownia
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    TLDR Current treatments for folliculitis decalvans include antibiotics, isotretinoin, and potential new therapies like botulinum toxin A and PRP.
    Folliculitis decalvans (FD) is a rare inflammatory scalp disease with an unclear etiology, involving factors like Staphylococcus aureus and immune dysfunction. Current treatment primarily includes systemic antibiotics such as rifampicin and clindamycin, often combined with local therapies. Systemic isotretinoin can lead to sustained remission, and biological agents show potential for severe cases. Emerging treatments like botulinum toxin A injections, Platelet-Rich-Plasma (PRP), and surgical procedures require further randomized double-blind trials to confirm their safety and efficacy.
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