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 3 months ago

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community lost my hair in a single year of treatment at 20 years old

in Finasteride/Dutasteride 90 upvotes 3 months ago

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community Comprehensive Microneedling Guide

in Microneedling 295 upvotes 2 years ago

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community scarring alopecia awareness in this community

in Chat 33 upvotes 2 years ago

Lichen Planopilaris (LPP), a form of permanent hair loss, which can be mistaken for seborrheic dermatitis and is characterized by scalp itching, burning, redness, and dandruff. Treatment options discussed include steroidal creams, finasteride, minoxidil, and RU58841.

community Do hair follicles ever really "die"? Or does all your front, mid, and crown hair just become vellus?

in Chat 139 upvotes 3 months ago

Hair follicles don't truly die but become severely miniaturized. Treatments like finasteride, dutasteride, and minoxidil can help restore hair by providing nutrients and reducing harmful effects on hair roots.