User login
The FP diagnosed tufted folliculitis in this patient. This is a clinical diagnosis made when numerous hairs grow from a single follicle. When this pattern occurs in larger areas of the scalp, it is usually a case of lichen planopilaris. A small area of involvement of tufted folliculitis has a better prognosis than full-blown lichen planopilaris.
The FP prescribed a high-potency topical corticosteroid and injected 10 mg/mL triamcinolone acetonide into the active area of hair loss. A follow-up appointment was set for one month.
In a case like this, the best outcome would be to prevent the spread of the alopecia and to stop the itching. As is true with all cicatricial alopecias, there is no real chance of hair regrowth and the tufts do not go away.
Photos and text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Usatine R. Scarring alopecia. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:815-818.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
The Color Atlas of Family Medicine is also available as an app for mobile devices. See
The FP diagnosed tufted folliculitis in this patient. This is a clinical diagnosis made when numerous hairs grow from a single follicle. When this pattern occurs in larger areas of the scalp, it is usually a case of lichen planopilaris. A small area of involvement of tufted folliculitis has a better prognosis than full-blown lichen planopilaris.
The FP prescribed a high-potency topical corticosteroid and injected 10 mg/mL triamcinolone acetonide into the active area of hair loss. A follow-up appointment was set for one month.
In a case like this, the best outcome would be to prevent the spread of the alopecia and to stop the itching. As is true with all cicatricial alopecias, there is no real chance of hair regrowth and the tufts do not go away.
Photos and text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Usatine R. Scarring alopecia. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:815-818.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
The Color Atlas of Family Medicine is also available as an app for mobile devices. See
The FP diagnosed tufted folliculitis in this patient. This is a clinical diagnosis made when numerous hairs grow from a single follicle. When this pattern occurs in larger areas of the scalp, it is usually a case of lichen planopilaris. A small area of involvement of tufted folliculitis has a better prognosis than full-blown lichen planopilaris.
The FP prescribed a high-potency topical corticosteroid and injected 10 mg/mL triamcinolone acetonide into the active area of hair loss. A follow-up appointment was set for one month.
In a case like this, the best outcome would be to prevent the spread of the alopecia and to stop the itching. As is true with all cicatricial alopecias, there is no real chance of hair regrowth and the tufts do not go away.
Photos and text for Photo Rounds Friday courtesy of Richard P. Usatine, MD. This case was adapted from: Usatine R. Scarring alopecia. In: Usatine R, Smith M, Mayeaux EJ, et al, eds. The Color Atlas of Family Medicine. New York, NY: McGraw-Hill; 2009:815-818.
To learn more about The Color Atlas of Family Medicine, see:
• http://www.amazon.com/Color-Atlas-Family-Medicine/dp/0071474641
The Color Atlas of Family Medicine is also available as an app for mobile devices. See