Tufts of Doll's Hair Within a Shiny, Scarring Alopecia

May 2016 in “ Journal of the American Academy of Dermatology ”

Isadore S. Tarantino, Ryan Fischer, Anand Rajpara

alopecia scarring alopecia cicatricial alopecia tufted folliculitis ketoconazole prednisone Nizoral

TLDR The man likely has tufted folliculitis causing painful, scarring hair loss.

A 43-year-old Hispanic man experienced an 8-year history of painful, purulent alopecia on the scalp, which did not improve with ketoconazole shampoo or oral prednisone. Examination showed shiny, cicatricial alopecia on the vertex of the scalp with tufts of hair, firm nodules, and scarring alopecia on the neck. The most likely diagnosis was tufted folliculitis.

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community I am a dermatologist with a clinical interest in alopecia. AMA

in Will treatment work for me? 2 years ago

In this conversation, 4990 discussed various treatments for hair loss, including oral minoxidil, PRP, transplan, Jak inhibitors, Dutasteride, Finasteride, Olumiant, Ketoconazole, RU58841, microneedling, baricitinib, and CCCA. They recommended scalp biopsies in unclear cases of DUPA, twice weekly to twice daily shampooing for topical minoxidil users, and two sessions spaced one month apart with follow up at month three to determine the effectiveness of PRP treatment.

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in Research 692 upvotes 4 months ago

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in Treatment 1 upvotes 2 weeks ago

The user is experiencing hair loss and confusion over conflicting medical advice, with treatments including minoxidil, finasteride, and topical corticosteroids. They are unsure about the necessity of a biopsy and the timing of using minoxidil, while also considering the impact of potential androgenetic alopecia and telogen effluvium.

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in Finasteride/Dutasteride 89 upvotes 4 months ago

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in Microneedling 290 upvotes 2 years ago

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in Chat 33 upvotes 2 years ago

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