Folliculitis decalvans

Update on primary cicatricial alopecias

“…10 In rare cases, folliculitis decalvans can affect the beard, face, and nape of the neck. 300,303 Reports of extremity, axillary, and pubic involvement 291 may represent coincident or alternative diagnoses. The disease course is usually chronic and slowly progressive.…”

“…288,290,301 Although Whiting has reported success with sulfamethoxazoletrimethoprim (details not provided), 9 in general, antistaphyloccocal, antineutrophilic, and broadspectrum antibiotics achieve at best temporary relief, with frequent relapse upon cessation. 186,288,290,294,303,312 The addition of prednisone can improve efficacy, but adverse effects with longterm use are prohibitive. 186,304,312 Corticosteroids alone have a variable effect.…”

Folliculitis decalvans

“…These three conditions present with a predominantly neutrophilic infiltrate and may have a common pathogenetic background. A few papers report about FD affecting the beard, face, and nape of the neck (31,32). However, extracranial manifestations are an exception (FIG.…”

“…Acne keloidalis shows a more mixed inflammatory infiltrate with neutrophils, lymphocytes, and plasma cells as well as granulomatous response and hypertrophic scarring (19). There may be a pathogenetic overlap between FD and acne keloidalis since the two diseases show common histopathologic features and a concomitant clinical appearance has been reported (26,31,32). Erosive pustular dermatosis predominantly affects elderly women and presents with suppurative, necrotic, erosive papules or plaques (38,39).…”

Folliculitis decalvans

“…1), although uncommon, has presented an aetiological and therapeutic dilemma. Case reports have described the use of multiple therapeutic agents ranging from epilation and superficial X‐ray therapy 3 to supraphysiological doses of zinc, 4 topical and systemic antibiotics and antifungals 4–5 . Some of these treatments have resulted in long‐term improvement.…”