Case Details

Folliculitis Decalvans Treatment Before and After

Folliculitis decalvans is a rare, scarring type of hair loss caused by chronic inflammation of the scalp. It often appears with redness, tenderness, pustules, and progressive permanent hair loss. Treatment can be difficult, but with proper dermatologic care, patients may see improvement in both symptoms and appearance. This type of hair loss is more common in Black men.

Case Example: African American Man in His 30s

In this case, a man in his 30s with African American heritage presented with painful scalp bumps, inflammation, and patchy hair loss. Because the condition was active and progressing, he was started on oral isotretinoin, a medication commonly known for treating severe acne, but also effective in controlling scalp inflammation and limiting follicle destruction.

Results After Five Months of Isotretinoin

After five months of isotretinoin therapy, the patient’s scalp showed significant improvement. Painful pustules and redness resolved, the spread of hair loss slowed, and the scalp skin appeared healthier. Since folliculitis decalvans is a scarring alopecia, destroyed follicles cannot regrow hair, but early and consistent treatment preserved existing follicles and improved comfort and appearance.

Why See a Dermatologist for Folliculitis Decalvans?

This before-and-after case demonstrates how folliculitis decalvans treatment can stabilize the condition and enhance quality of life. Management is particularly important for people of color, as symptoms and hair loss patterns may differ.

Learn more about this condition and treatment options on our dedicated page:
👉 Folliculitis Decalvans

Results may vary. Before you treat any type of hair loss make sure you get a proper diagnosis. If you are experiencing scalp tenderness, bumps, or progressive hair loss, schedule a consultation with a board-certified dermatologist to discuss whether folliculitis decalvans treatment is right for you.

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