Keratosis Follicularis Spinulosa Decalvans And Acne Keloidalis Nuchae

September 2005 in “ Australasian Journal of Dermatology ”

Michelle Goh, Jill Magee, Alvin H Chong

keratosis follicularis spinulosa decalvans acne keloidalis nuchae scarring alopecia follicular crusting pustule formation papular eruption keratosis pilaris perifollicular inflammatory infiltrate suppurative folliculitis isotretinoin scarring hair loss follicle inflammation Accutane

Studysummary This case report describes a 27-year-old man with a unique association of keratosis follicularis spinulosa decalvans and acne keloidalis nuchae, successfully treated with oral isotretinoin. Our plain-language summary of this paper — not a Tressless recommendation.

A 27-year-old man presented with a 10-year history of scarring alopecia on the vertex of the scalp, follicular crusting, pustule formation, and a papular eruption on the posterior neck. He also had keratosis pilaris on the cheeks, eyebrows, and thighs. Histology revealed scarring with a mixed perifollicular inflammatory infiltrate and acute suppurative folliculitis. The diagnosis was keratosis follicularis spinulosa decalvans and concurrent acne keloidalis nuchae, a previously unreported association. The patient responded to oral isotretinoin 20 mg daily for 12 months.

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Research cited in this study

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research Folliculitis Decalvans Including Tufted Folliculitis: Clinical, Histological, and Therapeutic Findings

226 citations , February 1999 in “British Journal of Dermatology”

This study reported that a treatment regimen of oral rifampicin and clindamycin for 10 weeks effectively managed folliculitis decalvans, with most patients experiencing no recurrence after one or multiple courses.

research Clinical Findings, Cutaneous Pathology, and Response to Therapy in 21 Patients With Keratosis Pilaris Atrophicans

78 citations , April 1994 in “Archives of dermatology”

This study suggests genetic and clinical heterogeneity in keratosis pilaris atrophicans, with variations in inheritance patterns, severity, and response to treatment among 21 individuals observed.

research Keratosis Follicularis Spinulosa Decalvans

54 citations , January 1983 in “Archives of Dermatology”

This article presents two cases of keratosis follicularis spinulosa decalvans and reviews its features, highlighting characteristic progression from keratosis pilaris in infancy to cicatricial alopecia in childhood.