Tufted Hair Folliculitis Treatment & Management

  • Author: Elizabeth CW Hughes, MD; Chief Editor: William D James, MD   more...
 
Updated: Jan 17, 2012
 

Medical Care

No uniformly successful treatment for tufted hair folliculitis exists. Overall, direct therapy toward decreasing patient discomfort and improving appearance. Institute topical treatment directed at decreasing scaling. Shampoos containing tar derivatives often are used. Oral antistaphylococcal antibiotics may be helpful, particularly if a large amount of purulent exudate is present.

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Surgical Care

Treatment of tufted hair folliculitis by excision of the areas of scarring has been described.

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Contributor Information and Disclosures
Author

Elizabeth CW Hughes, MD  Dermatologist, Group Health Cooperative

Elizabeth CW Hughes, MD is a member of the following medical societies: American Academy of Dermatology and American Medical Association

Disclosure: Nothing to disclose.

Specialty Editor Board

Leonard Sperling, MD  Chair, Professor, Department of Dermatology, Uniformed Services University of the Health Sciences

Leonard Sperling, MD is a member of the following medical societies: American Academy of Dermatology

Disclosure: Nothing to disclose.

David F Butler, MD  Professor of Dermatology, Texas A&M University College of Medicine; Chair, Department of Dermatology, Director, Dermatology Residency Training Program, Scott and White Clinic, Northside Clinic

David F Butler, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Dermatology, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, Association of Military Dermatologists, and Phi Beta Kappa

Disclosure: Nothing to disclose.

Edward F Chan, MD  Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania School of Medicine

Edward F Chan, MD is a member of the following medical societies: American Academy of Dermatology, American Society of Dermatopathology, and Society for Investigative Dermatology

Disclosure: Nothing to disclose.

Catherine M Quirk, MD  Clinical Assistant Professor, Department of Dermatology, University of Pennsylvania

Catherine M Quirk, MD is a member of the following medical societies: Alpha Omega Alpha and American Academy of Dermatology

Disclosure: Nothing to disclose.

Chief Editor

William D James, MD  Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine

William D James, MD is a member of the following medical societies: American Academy of Dermatology and Society for Investigative Dermatology

Disclosure: Elsevier Royalty Other

References

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  2. Dalziel KL, Telfer NR, Wilson CL, Dawber RP. Tufted folliculitis. A specific bacterial disease?. Am J Dermatopathol. Feb 1990;12(1):37-41. [Medline].

  3. Smith NP, Sanderson KV. Tufted folliculitis of the scalp. J R Soc Med. 1978;71:606-8.

  4. Tong AK, Baden HP. Tufted hair folliculitis. J Am Acad Dermatol. Nov 1989;21(5 Pt 2):1096-9. [Medline].

  5. Farhi D, Buffard V, Ortonne N, Revuz J. Tufted folliculitis of the scalp and treatment with cyclosporine. Arch Dermatol. Feb 2006;142(2):251-2. [Medline].

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  7. Annessi G. Tufted folliculitis of the scalp: a distinctive clinicohistological variant of folliculitis decalvans. Br J Dermatol. May 1998;138(5):799-805. [Medline].

  8. Powell JJ, Dawber RP, Gatter K. Folliculitis decalvans including tufted folliculitis: clinical, histological and therapeutic findings. Br J Dermatol. Feb 1999;140(2):328-33. [Medline].

  9. Saijyo S, Tagami H. Tufted hair folliculitis developing in a recalcitrant lesion of pemphigus vulgaris. J Am Acad Dermatol. May 1998;38(5 Pt 2):857-9. [Medline].

  10. Ko DK, Chae IS, Chung KH, Park JS, Chung H. Persistent pemphigus vulgaris showing features of tufted hair folliculitis. Ann Dermatol. Nov 2011;23(4):523-5. [Medline]. [Full Text].

  11. Mirmirani P, Willey A, Headington JT, Stenn K, McCalmont TH, Price VH. Primary cicatricial alopecia: histopathologic findings do not distinguish clinical variants. J Am Acad Dermatol. Apr 2005;52(4):637-43. [Medline].

  12. Luelmo-Aguilar J, Gonzalez-Castro U, Castells-Rodellas A. Tufted hair folliculitis. A study of four cases. Br J Dermatol. Apr 1993;128(4):454-7. [Medline].

  13. Pujol RM, Garcia-Patos V, Ravella-Mateu A, Casanova JM, de Moragas JM. Tufted hair folliculitis: a specific disease?. Br J Dermatol. Feb 1994;130(2):259-60. [Medline].

 
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Tufted hairs. Multiple hairs emerging a dilated follicular orifice with surrounding scarring alopecia.
 
 
 
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