Folliculitis Decalvans and Orofacial Granulomatosis

The document described a case of a 32-year-old man with folliculitis decalvans (FD) and orofacial granulomatosis (OFG), both conditions with unclear causes. FD involved chronic inflammation with follicular pustules and scalp scarring, while OFG was characterized by persistent orofacial swelling with non-caseating granulomas. The patient, with a history of head injury, was initially misdiagnosed with other skin conditions. Treatment with dapsone, topical corticosteroids, and antibiotics resulted in significant improvement. The study underscored the diagnostic and treatment challenges due to the complex and not fully understood pathogenesis of these conditions.