Tufted folliculitis

Tufted folliculitis
Synonyms	Folliculitis decalvans
Pronounce	N/A
Specialty	Dermatology
Symptoms	Hair loss, scalp inflammation, pustules
Complications	Scarring alopecia
Onset	Usually adulthood
Duration	Chronic
Types	N/A
Causes	Bacterial infection, often Staphylococcus aureus
Risks	Immunosuppression, poor hygiene
Diagnosis	Clinical diagnosis, skin biopsy
Differential diagnosis	Alopecia areata, tinea capitis, dissecting cellulitis
Prevention	N/A
Treatment	Antibiotics, topical steroids, antiseptic washes
Medication	Clindamycin, rifampicin, fusidic acid
Prognosis	N/A
Frequency	Rare
Deaths	N/A

Tufted folliculitis is a rare condition of the scalp characterized by the formation of groups, or "tufts," of 5-15 hairs emerging from a single follicle opening. This condition is considered a variant of folliculitis decalvans, a form of scarring alopecia.

Symptoms

The primary symptom of tufted folliculitis is the presence of hair tufts, which can be seen on the scalp. These tufts are groups of hairs that emerge from a single follicle opening. Other symptoms may include itching, pain, and inflammation of the scalp. In some cases, tufted folliculitis can lead to hair loss and scarring.

Causes

The exact cause of tufted folliculitis is unknown. However, it is believed to be related to inflammation of the hair follicles, possibly due to a bacterial infection. Some researchers suggest that it may be an end stage of various forms of inflammatory alopecia.

Diagnosis

Diagnosis of tufted folliculitis is primarily based on the clinical appearance of the scalp. A biopsy may be performed to confirm the diagnosis and rule out other conditions.

Treatment

Treatment for tufted folliculitis primarily involves managing the symptoms and preventing further hair loss and scarring. This may include the use of antibiotics, steroids, and other medications to reduce inflammation and fight any potential bacterial infection. In severe cases, surgical intervention may be necessary.

See also

• Folliculitis
• Scarring alopecia
• Hair loss