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ISSN 0210-5187 (Electronic)

2003, Number 2

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Med Cutan Iber Lat Am 2003; 31 (2)

Tufted Hair Folliculitis

Jeremías X, Giménez-Arnau AM

Language: Spanish
References: 14
Page: 113-115
PDF size: 169.26 Kb.


ABSTRACT

Tuftes hair folliculitis was described in 1978 by Smith and Sanderson. It is an uncommon, inflammatory, exudative, chronic and relapsing disease, located in the hair of scalp. The abnormal hairs appear in bunches (tufted) of 10 to 15 elements, irregularly distributed in evolutive plaques of cicatrizial alopecia.
The clinical aspect is very peculiar and clearly different from any other type of alopecia. Initially plaques of erithema and aedema with pustules and exudation, desquamation, scales and crust appear. The evolution goes towards the fibrosis, scarring and irreversible cicatrizial alopecia.
A man 34 years old is presented suffering from three years ago of plaque, oral shaped, of 8x6 cm. of diameter located in the vertex and of the scalp. That lesion was lightly erythematous and finely scaly. Many follicles irregularly distributed in the plaque, were clearly purulent. From these follicles emerged bunches of 10 to 15 assembled terminal hairs. The consistence of the plaque was firm indicating a dermal fibrosis. Diagnosis, evolution, and oral treatment with isotretinoin and cloxacilin are commented.


REFERENCES

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  2. TagamiH. Numerous multiple hairs. Arch Dermatol 1970;102:309-312.

  3. Luelmo J, Gonzalez-Castro U, Castells Rodellas A. Tuffted folliculitis: a syudy of four cases. Br J Dermatol 1993; 128:454-457.

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  10. Secchi T, Balme B, Thomas L, Viornery P, Moulin G. Folliculites en touffes du cuir chevelu. Ann Dermatol Venereol 1994; 121:479-481.

  11. Pujol RM, Matías-Guiu X, García Patos V, De Moragas JM. Tufted-hair folliculitis. Clin Exp Dermatol 1991; 16: 199-201.

  12. Schewach-Millet M, Ziv R, Shapira D. Perifolliculitis capitis abscedens el suffodiens trested with isotretinoin (13-cis-retinoic acid.) J Am Acad Dermatol 1986; 15: 1291-1292.

  13. Petroni´c-Rosi´c, V, Fruni´c A, Mijuskovi´c, Vesi´c S. Tufted hair folliculitis: A pattern of scarring alopecia?. J Am Acad Dermatol 1999; 41: 112-114.

  14. Saijyo S, Tagami H, Tufted hair folliculitis developing in a recalcitrant lesion of penfigus vulgaris. J Am Acad Dermatol 1998;38:857-9.




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