What is burrowing folliculitis
Folliculitis Decalvans is a rare, chronic inflammatory skin disease that mainly affects scalp hair follicles, leading to follicle destruction, scarring and permanent hair loss. The disease is more common in adults, with the incidence rate in men slightly higher than in women. The cause is not yet clear and may be related to bacterial infection (such as Staphylococcus aureus), immune abnormalities or genetic factors.
Main symptoms of burrowing folliculitis
| symptom | describe |
|---|---|
| erythema and pustules | Red papules or pustules on the scalp that are painful or itchy |
| Hair follicle destruction | Inflammation causes damage to hair follicles, scarring and permanent hair loss |
| Scabs and scales | The affected area may be covered with yellow or brown scabs with flaking off scales |
| Scalp atrophy | Long-term inflammation can cause thinning of the scalp and the formation of scarring bald areas |
Causes and risk factors of burrowing folliculitis
The exact cause of burrowing folliculitis is not yet fully understood, but research suggests that the following factors may be related to its onset:
| factor | illustrate |
|---|---|
| bacterial infection | Staphylococcus aureus infection is a common cause and may trigger an abnormal immune response |
| immune abnormalities | Some patients have an overactive immune system that attacks their own hair follicles |
| genetic predisposition | People with similar medical histories in their families are at higher risk |
| scalp trauma | Frequent hair dyeing, perming, or scalp damage may induce inflammation |
Diagnosis and treatment of burrowing folliculitis
Diagnosis of burrowing folliculitis usually requires a combination of clinical findings, dermoscopy, and pathological biopsy. The doctor may order a bacterial culture to determine the source of the infection. Treatment options include:
| Treatment | Specific measures |
|---|---|
| antibiotic treatment | Oral or topical antibiotics (eg, doxycycline, clindamycin) to control infection |
| anti-inflammatory drugs | Glucocorticoids are injected locally or taken orally to reduce inflammation |
| immunomodulator | Such as isotretinoin and methotrexate for refractory cases |
| laser treatment | Low-intensity laser may promote hair follicle repair and reduce scarring |
Recent hot health topics related to burrowing folliculitis
Among the hot health topics on the Internet recently, scalp health and hair loss have attracted much attention. As a rare but serious hair follicle disease, tunneling folliculitis may be related to the following hot topics:
| hot topics | relevance |
|---|---|
| "Stress Alopecia" | Digging folliculitis may cause immune disorders aggravated by stress |
| “Scalp Care Misconceptions” | Folliculitis may be induced by excessive cleaning or chemical stimulation |
| "Antibiotic resistance" | Treatment of burrowing folliculitis requires rational use of antibiotics |
| "Scarring alopecia" | Digging folliculitis is one of the main types of cicatricial alopecia |
Prevention and daily care recommendations
Although burrowing folliculitis cannot be completely prevented, you can reduce the risk or relieve symptoms by taking the following steps:
Digging folliculitis is a chronic disease that requires long-term management, and early treatment can significantly improve the prognosis. If you suspect you have this disease, it is recommended to see a dermatologist as soon as possible to develop a personalized treatment plan.
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