Tufted Folliculitis: A Case Report

June 2013 in “ TURKDERM ”

İlknur Balta, Murat Baykır, Şahande Nur Yüksel, Müzeyyen Astarcı, Alev Eken, Meral Ekşioğlu

tufted hair folliculitis scarring alopecia folliculitis isotretinoin rifampicin cephalexin vitamin C Accutane

Studysummary This case report describes a 14-year-old female with tufted hair folliculitis, where isotretinoin reduced inflammation and exudation but persistent hair tufting remained, highlighting the challenges in treating this rare condition.

Our plain-language summary. Not medical advice or a treatment recommendation. Consult a qualified healthcare professional before changing treatment. Full disclaimer

Tufted hair folliculitis (THF) was a rare and challenging condition characterized by recurrent scalp folliculitis leading to scarring alopecia with multiple hair tufts emerging from dilated follicular openings. A 14-year-old female with a 10-year history of pruritic and inflammatory scalp wounds was diagnosed with THF. Initial treatment with oral rifampicin, cephalexin, and vitamin C was ineffective. However, isotretinoin treatment over six months reduced inflammation and exudation, although hair tufting persisted. This case highlighted the difficulty in treating THF and its rarity.

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research Tufted Hair Folliculitis: Complete Enduring Response After Treatment With Rifampicin

9 citations , January 2004 in “Journal of dermatological treatment”

This study reports that oral rifampicin effectively treated the pustular lesions of tufted hair folliculitis in a 47-year-old woman, with no relapses after one year.

research Tufted Hair Folliculitis After Scalp Injury

8 citations , March 2001 in “PubMed”

This case study reports a 38-year-old epileptic man with tufted hair folliculitis that persisted despite various antibiotic treatments, showing transient improvement followed by recurrence.

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.