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Giornale Italiano di Dermatologia e Venereologia 2002 April;137(2):145-8

Copyright © 2002 EDIZIONI MINERVA MEDICA

language: Italian

Tufted hair folliculitis. Case report and review of the literature

Rosina P., Chieregato C., Zambelli Franz C., Miccolis D., D’Onghia F. S.

Università degli Studi - Verona Sezione di Dermatologia e Venereologia Dipartimento di Scienze Biomediche e Chirurgiche


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Tufted hair folliculitis is a rare folliculitis of the scalp that evolve in scarring alopecia, usually due to an infection caused by Staphylococcus aureus. The name derives from the presence of “doll-shaped” tufts of hair coming out from a single follicular opening. However, this clinical manifestation is not specific of staphylococcal infection. On the contrary it seems to represent the result of many other inflammatory diseases affecting the scalp and causing cicatricial alopecia. This condition is chronic and tends to recur. The treatment is difficult and often disappointing. The case of a 38 year old man presenting patchtes of alopecia on the vertex associated with “doll shaped” tufts of hair and diffuse erythemato-squamous lesions, is described. The histologic examination showed a folliculitis surrounded by inflammation with a mixed limphogranulocytic infiltrate and merging of a group of hair follicles in a single follicular orifice. Cultures from scaped skin showed Staphylococcus aureus. On the basis of the antibiogram, the patient was treated with oral doxiciclin and topical fusidic acid with a disappearance of the erythemato-squamous lesions. An antibacteric and keratolytic shampoo with salicylic acid was used for maintenance. After a one year follow-up there were no relapses of the inflammatory lesions.

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