51 results match your criteria: "Tufted Hair Folliculitis"

Acne Keloidalis Nuchae: A Therapeutic Challenge for Dermatologists.

Actas Dermosifiliogr

November 2024

Servicio de Dermatología, Centro Dermatológico Dr. Ladislao de la Pascua, Ciudad de México, México; Servicio de Dermatología, Hospital Universitario Severo Ochoa, Madrid, España; Trichology Unit, Grupo de Dermatología Pedro Jaén, Madrid, España; Servicio de Dermatología, Hospital Universitario Ramón y Cajal; Departamento de Biología de Sistemas, Facultad de Medicina, Universidad de Alcalá, IRYCIS, Madrid, España.

Acne keloidalis nuchae (AKN) is a chronic inflammatory dermatosis of the scalp that causes scarring alopecia. The etiology of AKN has been associated with an immune response vs. follicular antigens.

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Article Synopsis
  • Folliculitis decalvans (FD) is a rare inflammatory condition affecting the scalp, characterized by symptoms like itching, pustules, and patchy hair loss.
  • Current treatment options commonly include topical and oral antibiotics.
  • The authors suggest exploring biologic therapies for moderate to severe FD to help manage inflammation and prevent further hair loss.
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Article Synopsis
  • The study presents 30 cases of folliculitis decalvans (FD) observed in patients with dystrophic epidermolysis bullosa (DEB) among 125 DEB patients treated in French centers from 2010 to 2021.
  • It suggests a potential physiological connection between the two rare diseases, indicating that the skin abnormalities present in DEB may exacerbate the occurrence of FD.
  • The paper emphasizes the importance of this association for understanding the causes of FD, particularly highlighting the role of skin barrier dysfunction in these patients.
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Tufted hairs: A bouquet of flowers in different hair diseases.

J Cosmet Dermatol

September 2022

Dermatology- IRCCS, Policlinico Sant'Orsola, Department of Specialized, Experimental and Diagnostic Medicine, Alma Mater Studiorum, University of Bologna, Bologna, Italy.

Article Synopsis
  • Tufted hairs are a unique condition where multiple hair shafts grow from a single follicle, resembling "doll's hair," and are mainly associated with folliculitis decalvans (FD).
  • * However, this grouping can also appear in other hair disorders, though it may not be as clearly indicative of those conditions.
  • * The goal of the paper is to examine the clinical and trichoscopic traits of various hair diseases involving tufted hairs to identify distinct features that could assist clinicians in making accurate diagnoses.
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Article Synopsis
  • Folliculitis decalvans (FD) is a type of inflammatory hair loss known as primary cicatricial alopecia, characterized as neutrophilic, though its detailed histopathology has been minimally documented in past studies.
  • The study involved 42 patients with FD, using dermoscopy and biopsies to discover that early-stage lesions show signs like loss of sebaceous glands and unique follicular changes, while active lesions display more pronounced inflammation and hair cluster formations.
  • The findings suggest that FD has mixed-cell characteristics, with early-stage features highlighting keloid-like thickening and tufted hairs, indicating the complexity of its pathology.
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Introduction: Clinical diagnosis of primary cicatricial alopecias presents difficulties. Studies regarding their trichoscopic features are scarce and mostly not comprehensive. The aim of this study is to evaluate the potential benefit of a handheld dermatoscope in clinical diagnosis of primary cicatricial alopecias.

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Adipose tissue transplant in recurrent folliculitis decalvans.

Int J Immunopathol Pharmacol

March 2019

Department of Plastic and Reconstructive Surgery, San Gallicano Dermatological Institute IRCCS, Rome, Italy.

Article Synopsis
  • Folliculitis decalvans is a rare type of hair loss disorder that primarily affects men and involves inflammation and scarring of hair follicles.
  • The study discusses a female patient's treatment using autologous fat transplantation, which involves using her own fat cells to promote hair regrowth through stem cell therapy and the natural inflammatory properties of the fat.
  • After two procedures in 2017, the patient showed significant improvement with no new pustules, relief from pain or burning sensations, and noticeable hair regrowth with enhanced strength and shine in the affected areas.
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A Second Case of Gobello Nevus Syndrome.

Case Rep Dermatol

May 2016

Dermatology Unit, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, University of Milan, Milan, Italy.

Article Synopsis
  • A 17-year-old male was diagnosed with a rare type of epidermal nevus, featuring dark, thickened skin bands in a Blaschko-linear pattern and widespread follicular hyperkeratosis.
  • He also presented with tufted hair folliculitis on his scalp and clinodactyly (curved fingers) affecting the fifth finger on both hands.
  • This case matches previously described characteristics of a newly identified epidermal nevus syndrome, first recognized by Gobello et al. in 2000, and is the second documented occurrence of this syndrome.
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Article Synopsis
  • Scarring alopecia, also known as cicatricial alopecia, happens when hair follicles are damaged badly enough that they are replaced by scar tissue.
  • There are two main types: primary scarring alopecia, which directly impacts hair follicles, and secondary scarring alopecia, which affects the skin (dermis) and then damages hair follicles.
  • Inflammation in these conditions can involve different types of immune cells, with conditions like discoid lupus and frontal fibrosing alopecia primarily associated with lymphocyte involvement, while others like folliculitis decalvans are linked to neutrophils.
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Article Synopsis
  • Trichoscopy, a diagnostic tool for hair loss, was used on 1,884 patients to differentiate between cicatricial alopecia (scarring) and non-cicatricial alopecia (non-scarring).
  • The study identified specific trichoscopy patterns associated with various types of cicatricial alopecia, including unique skin discolorations and hair growth abnormalities.
  • The findings suggest that trichoscopy is an effective, non-invasive method for diagnosing different diseases that cause cicatricial alopecia, which can help in providing better patient care.
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Trichoscopy update 2011.

J Dermatol Case Rep

December 2011

Department of Dermatology, CSK MSWiA, Warsaw, Poland.

Article Synopsis
  • Trichoscopy is a crucial diagnostic tool for identifying hair and scalp conditions, focusing on non-cicatricial and cicatricial alopecia, hair shaft disorders, and inflammatory scalp diseases.
  • Common findings in non-cicatricial alopecia include empty follicular openings, with specific markers in conditions like alopecia areata and androgenic alopecia indicating disease activity and severity.
  • In cicatricial alopecia, trichoscopy reveals distinct patterns such as milky-red areas lacking hair follicles, and specific features help diagnose various conditions like lichen planopilaris and folliculitis decalvans.
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Article Synopsis
  • Pemphigus vulgaris is an autoimmune disease that causes blistering, especially on the scalp, and can lead to tufted hair folliculitis when lesions are persistent.
  • A 51-year-old man presented with scalp lesions lasting around 20 years, showing erosions and groups of hair.
  • Histopathological analysis confirmed the diagnosis of persistent pemphigus vulgaris with features characteristic of tufted hair folliculitis.
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Tufted hair folliculitis: a case report and literature review.

Acta Dermatovenerol Alp Pannonica Adriat

January 2012

Department of Dermatology and Venereology, Faculty of Medicine, Medical University of Sofia, Street Address, Postal code Sofia, Bulgaria.

Article Synopsis
  • Tufted hair folliculitis is a rare scalp condition characterized by hair clumping in patches, leading to scarring and hair loss.
  • The condition arises from a combination of factors including adjacent hair follicles clustering, fibrosis, and trapped older hairs in enlarged follicle openings.
  • A case study showed successful treatment with antibacterial meds, supporting the idea that infection plays a role in this condition.
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Article Synopsis
  • * Examination revealed an inflamed scalp area with pustules and tufted hair growth, indicating a type of folliculitis, specifically tufted hair folliculitis (THF).
  • * Diagnosis was supported by microbiological findings (positive for Staphylococcus aureus), histological analysis, and dermoscopy patterns; the patient was treated with antibiotics and topical medication for 20 days.
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Tufted hair folliculitis in a woman treated with trastuzumab.

Target Oncol

December 2010

Division of Dermatology, Washington University School of Medicine, 660 S. Euclid, Campus Box 8123, St. Louis, MO 63110, USA.

Article Synopsis
  • Chemotherapeutic agents targeting the HER family are increasingly used to treat solid tumors, with common side effects linked to EGFR inhibitors.
  • While other HER inhibitors like trastuzumab (HER2 inhibitor) aren't known for specific skin issues, there are exceptions.
  • A case of tufted hair folliculitis, causing scalp inflammation, was reported in a woman undergoing trastuzumab treatment, marking a novel side effect not previously documented.
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Article Synopsis
  • A 56-year-old European man had a 4-year history of painful, red, and scarred alopecia on his scalp, resembling tufted hair folliculitis, but it was actually tinea capitis.
  • Histological analysis showed hair plugging and inflammatory cells, and fungal tests confirmed the presence of Trichophyton tonsurans, ruling out bacterial infection.
  • After 30 days of antifungal treatment, the patient experienced significant improvement, and while there was some residual scarring after 5 months, hair tufts were still visible.
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