Folliculitis decalvans (FD) is a rare idiopathic primary cicatricial alopecia which leads to permanent destruction of hair follicular stem cell. Staphylococcus aureus as well as autoimmunity has been implicated in the pathogenesis.
Can folliculitis decalvans be stopped?
Can folliculitis decalvans be cured? There are many different treatments available to control the inflammation of folliculitis decalvans, but unfortunately no cure has been found. Scarring, if it develops, is permanent. Treatment is aimed at reducing inflammation and preventing further scarring.
Is Cicatricial alopecia an autoimmune disorder?
Cicatricial (scarring) alopecia results from irreversible damage to epithelial stem cells located in the bulge region of the hair follicle, generally as a result of inflammatory mechanisms (eg, in the context of autoimmune disease).
How do you get rid of folliculitis decalvans?
Oral antibiotics are frequently used to treat folliculitis decalvans. Tetracyclines and the combination of clindamycin with rifampicin are the most commonly used (2). However, the disease usually progresses when treatment is stopped. Fusidic acid is an anti-staphylococcal drug with few adverse effects.
Will hair grow back after folliculitis decalvans?
As the condition progresses, your hair follicles are destroyed and can no longer produce hairs. Bacteria may become trapped in the follicles, leading to pustules. Scar tissue develops in place of dead hair follicles. This prevents any further hair growth in the affected areas.
Can Accutane cure folliculitis decalvans?
The authors of this retrospective study evaluated treatments of folliculitis decalvans in 28 patients and found that isotretinoin was the most successful oral treatment, with 90% of patients experiencing remission for up to 2 years following treatment.
How is folliculitis decalvans diagnosed?
Folliculitis decalvans is usually diagnosed and treated by a dermatologist, a doctor who specializes in diseases of the skin. Usually the diagnosis of folliculitis decalvans is made with a physical examination, where a doctor will look at the skin, areas of thinning hair, and pustules.
Is central centrifugal cicatricial alopecia an autoimmune disease?
Factors that could be contributory to the development of CCCA are genetics, history of autoimmune disease, and various hairstyling practices such as excessive heat and tension chemical relaxers on the scalp that are known to be used in the black community.
Will my hair ever grow back from CCCA alopecia?
Once the hair follicles get destroyed, the hair cannot be regrown. In most cases scarring alopecia starts as a non-scarring type of alopecia that slowly progresses into permanent or irreversible baldness.
Can hair grow back with CCCA?
Unfortunately, CCCA is progressive. This means that it spreads over time. As a result, we cannot restore scarred hair follicles. If you catch the issue early, you can regrow some hair but in the very late stages, regrowth is unlikely.
What is Decalvans?
INTRODUCTION. Folliculitis decalvans (FD) is a rare, chronic cicatricial (scarring) alopecia that occurs in adults and classically presents as an expanding patch of alopecia with peripheral pustules on the scalp (picture 1A-B). Patients may experience associated pruritus or pain.
Why do I keep getting folliculitis on my scalp?
Folliculitis is most often caused by an infection of hair follicles with Staphylococcus aureus (staph) bacteria. Folliculitis may also be caused by viruses, fungi and even an inflammation from ingrown hairs.
Will hair grow back after folliculitis?
Folliculitis is often the diagnosis of affected hair follicles. Using a follicle energizer and nourisher will rejuvenate cellular regeneration and circulation. Can Dead Hair Follicles Grow Back? If a hair follicle is intact, hair can grow back with proper care.
Is sunlight good for folliculitis?
UV light therapy: During this treatment, ultraviolet light is used to help decrease the inflammation on the skin. UV light treatments are only used to treat certain types of folliculitis.
What shampoo is best for folliculitis?
Washing your scalp with an anti-dandruff shampoo that contains antifungal agents, such as ketoconazole, ciclopirox, or tea tree oil, may be helpful.
How do I reduce DHT?
Practicing a healthy lifestyle can help reduce DHT levels naturally. This includes regular exercise, quit smoking, reduce stress, take time to rest, and do scalp exercises like massages to reduce tension and increase blood flow. The herbal route is also an effective natural way to reduce DHT in the body.