Folliculitis decalvans
Diagnosing folliculitis decalvans early and receiving expert treatment is crucial for managing its symptoms and preserving hair health.
What is folliculitis decalvans?
Folliculitis decalvans is a rare, chronic inflammatory condition that affects the hair follicles on the scalp, leading to scarring and permanent hair loss.
What causes folliculitis decalvans?
The exact cause of folliculitis decalvans is not fully understood, but it is thought to involve an abnormal response of the immune system, possibly triggered by bacterial infection. Genetic factors may also play a role, similarly to other scalp conditions.
Who typically contracts folliculitis decalvans?
Folliculitis decalvans typically affects adults, with a higher prevalence in middle-aged men. However, it can occur in women as well. It can occur in all hair types but there is a higher incidence associated with Afro-textured hair.
General symptoms
How to treat folliculitis decalvans
Treating folliculitis decalvans can be challenging due to its chronic nature, but various treatments can help manage symptoms, reduce inflammation, and prevent further hair loss.
Antibiotics
Creams may be applied directly to the affected areas to control bacterial infection. Long-term courses of oral antibiotics can also be used to reduce bacterial load and inflammation.
Anti-inflammatory medications
Medications such as Corticosteroids can be applied topically or injected directly into the scalp to reduce inflammation, with oral corticosteroids being used for short periods in severe cases.
Isotretinoin
In severe or resistant cases, low-dose isotretinoin may be prescribed with caution, as higher doses can inflame the condition.
Antibacterial shampoos
Regular use of antiseptic or antibacterial shampoos can help reduce bacteria buildup on the scalp.
Laser therapy
Laser treatments can be considered to destroy the hair follicles and stop the condition spreading or to switch off inflammation. We can refer you to a laser therapy specialist if required.
Hair transplantation
In cases where the disease is under control and scarring is stable, hair transplantation may be considered to restore hair in the affected areas. We can refer you to a hair transplant specialist if required.
Scalp reduction
In some cases, surgical removal of the scarred areas may be an option, though this is rare and only considered in severe cases.
How to prevent folliculitis decalvans
Preventing folliculitis decalvans can be challenging since the exact cause of the condition is not fully understood. However, there are some strategies that may help reduce the risk of developing the condition or prevent it from worsening if you are already affected:
- •Maintain good scalp hygiene
- •Avoid scalp irritation, especially through harsh hair products like dyes or bleaches
- •Manage skin conditions (such as acne or dermatitis)
- •Seek medical attention quickly if you notice abnormalities
Important information
When should I see a dermatologist about folliculitis decalvans?
You should see a dermatologist if you notice persistent scalp inflammation, redness, or hair loss, especially if it's accompanied by pain, itching, or pus-filled bumps. Early intervention is essential to prevent scarring and permanent hair loss.
What's the first step for dealing with folliculitis decalvans?
The first step is to book a consultation with one of our experts. From there, we will assess your hair and scalp, reviewing the pattern and severity of your condition, as well as any underlying scalp conditions. We will also consider your medical history, current medications, and any prior treatments you've undergone. Our team will then recommend the most effective treatment tailored to your needs, along with an aftercare plan aimed at promoting hair regrowth and improving overall scalp health.
Folliculitis decalvans FAQs
We strive to provide you with advice and options to regain confidence in your hair. By implementing the appropriate measures, you can achieve significant improvements in hair growth and overall hair health.
Accreditations & memberships
Our consultants are members of leading UK and international dermatology and hair specialist bodies.
- Royal College of Physicians
- European Hair Research Society (EHRS)
- British Association of Dermatologists
- British Hair & Nail Society
- American Academy of Dermatology Association (AAD)
- European Academy of Dermatology & Venereology (EADV)