A Practical Algorithm for the Management of Superficial Folliculitis of the Scalp: 10 Years of Clinical and Dermoscopy Experience

A Practical Algorithm for the Management of Superficial Folliculitis of the Scalp: 10 Years of Clinical and Dermoscopy Experience

Authors

  • Michela Starace Dermatology - IRCCS Policlinico Sant'Orsola—Department of Experimental, Diagnostic and Specialty Medicine (DIMES), Alma Mater Studiorum, University of Bologna, Bologna, Italy
  • João Paulo Yamagata Department of Dermatology, State University of Rio de Janeiro – UERJ, Rio de Janeiro – RJ, Brazil
  • Rita Fernanda Cortez de Almeida Department of Dermatology, State University of Rio de Janeiro – UERJ, Rio de Janeiro – RJ, Brazil
  • Simone Frattini Mental Health Department, Guelph General Hospital, Guelph, ON, Canada
  • Francesca Bruni Dermatology - IRCCS Azianda Ospedaliero-Universitaria di Bologna; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
  • Aurora Alessandrini Dermatology - IRCCS Azianda Ospedaliero-Universitaria di Bologna; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
  • Matilde Iorizzo Private Dermatology Practice, Bellinzona/Lugano, Switzerland
  • Daniel Fernandes Melo Department of Dermatology, State University of Rio de Janeiro – UERJ, Rio de Janeiro – RJ, Brazil
  • Iria Neri Dermatology - IRCCS Azianda Ospedaliero-Universitaria di Bologna; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
  • Bianca Maria Piraccini Dermatology - IRCCS Azianda Ospedaliero-Universitaria di Bologna; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy

Keywords:

folliculitis, scalp, dermoscopy, rosacea, seborrheic dermatitis

Abstract

Introduction: Superficial folliculitis of the scalp (SFS) is a common complaint in clinical practice, and initial presentation may be difficult to differentiate as they may appear very similar to each other.

Objectives: The aim of this thesis is to describe the pathologies that occur clinically as folliculitis of the scalp, identify their causes and characteristics and create a standardized classification.

Methods: This is a retrospective clinical, dermoscopic and histopathological study over 10 years of dermatologic consultations. Only individuals with a confirmed diagnosis of SFS (updated diagnostic criteria or biopsy) were included.

Results: In this review, we describe the various clinical features of different causes of SFS in ninety-nine cases and divided into infectious due to fungus, bacteria, or virus and inflammatory conditions such as rosacea, acneiform eruption and Ofuji syndrome.

Conclusions: The clinician must differentiate SFS from other underlying scarring disorders to prevent poorer outcomes. We created an algorithm to help the clinician reach a proper diagnosis.

References

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Published

2023-07-31

Issue

2023 Vol 13, No 3 | July

Section

Original Article

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Copyright (c) 2023 Michela Starace, João Paulo Yamagata, Rita Fernanda Cortez de Almeida, Simone Frattini, Francesca Bruni, Aurora Alessandrini, Matilde Iorizzo, Daniel Fernandes Melo, Bianca Maria Piraccini

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How to Cite

1.
A Practical Algorithm for the Management of Superficial Folliculitis of the Scalp: 10 Years of Clinical and Dermoscopy Experience . Dermatol Pract Concept [Internet]. 2023 Jul. 31 [cited 2024 May 18];13(3):e2023131. Available from: https://dpcj.org/index.php/dpc/article/view/2854

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