Folliculitis Decalvans

Folliculitis decalvans is chronic scarring neutrophilic folliculitis (S. aureus) of scalp, presenting with pustules, crusting, tufted hairs, and irreversible scarring alopecia. Treatment: long-term oral antibiotics (rifampin + clindamycin/doxycycline); topical corticosteroids; topical antibiotics (mupirocin); treat secondary infection; avoid trauma; monitor for progression/extension; biopsy to confirm; follow-up dermatology; early treatment to prevent permanent alopecia.

Common Symptoms

Scalp pustules/crusting; tufted hairs; scarring alopecia; staph

Causes and Pathogenesis

Staph-induced neutrophilic folliculitis causes scarring and permanent alopecia.

Treatment

Long-term antibiotics; topical steroids/antibiotics; monitor progression

Preventive Measures

Early treatment; scalp hygiene; avoid trauma.

Department to Visit

It is recommended to visit the Dermatology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.