“…The cause of PA has puzzled dermatologists for decades and some attempts have been made to reveal a definitive etiology 1,3,5,6,10 . However these attempts were limited in number, conducted on a smaller number of patients, 2,6,7,9–12 or not inclusive of microbiological and histopathological examinations 1,10 . The vast majority of PA patients in the present investigation were subjected prospectively to concomitant microbiological and histopathological examinations, and the results indicate that PA represents a particular reaction pattern of the scalp to various inflammatory scalp diseases.…”