ICD-11 definition : Folliculitis decalvans is characterized by the progression of scalp folliculitis to
extensive inflammation, follicular destruction and scarring. In a variant called tufted
folliculitis the hairs become clumped into tufts containing a dozen or more hairs.
In contrast to the course in the vast majority of people who develop a bacterial pustular
folliculitis of the scalp, individuals with folliculitis decalvans appear unable to
eradicate Staphylococcus aureus from the hair follicle even with appropriate antibiotic
therapy. Recurrent pustulation with surrounding inflammation and scaling leads to
extensive permanent scarring and loss of hair.;
Folliculitis decalvans is characterized by the progression of scalp folliculitis to
extensive inflammation, follicular destruction and scarring. In a variant called tufted
folliculitis the hairs become clumped into tufts containing a dozen or more hairs.
In contrast to the course in the vast majority of people who develop a bacterial pustular
folliculitis of the scalp, individuals with folliculitis decalvans appear unable to
eradicate Staphylococcus aureus from the hair follicle even with appropriate antibiotic
therapy. Recurrent pustulation with surrounding inflammation and scaling leads to
extensive permanent scarring and loss of hair.