Dermnet Videos
Alopecia Videos
- Alopecia areata – Causes and Associated Conditions
- Alopecia Areata Information
- Alopecia Areata Treatment
- Course of Sudden Hair Loss Telogen Effluvium
- Evaluation and Treatment of Sudden Hairloss Telogen Effluvium
- Female Pattern Baldness and Hair Loss Causes
- Female Pattern Baldness and Hair Loss in Women
- Female Pattern Hair Loss Evaluation and Testing
- Female Pattern Hair Loss Treatment
- Hair loss and Alopecia Introduction
- Hair Loss Due To Hair Pulling – Trichotillomania
- Hair Loss Treatment and Male Pattern Baldness Medicine
- Loose Anagen Hair Syndrome
- Male Patern Baldness Causes and Hair Loss
- Male Pattern Baldness and Hair Loss Information
- Sudden Hair Loss Telogen Effluvium
- Traction Alopecia Hair Loss
- Traction Alopecia Hair Loss Treatment
- Central Centrifugal Cicatricial Alopecia
- Discoid Lupus Erythematosus – Clinical
- Discoid Lupus Erythematosus – Histology
- Discoid Lupus Erythematosus – Treatment
- Follicular Degeneration Syndrome
- Folliculitis Decalvans – Clinical
- Folliculitis Decalvans Treatment
- Hair Loss Alopecia With Scarring Information
- Lichen Planopilaris
- Lichen Planopilaris – Clinical Features
- Lichen Planopilaris Treatment
Video Topics
Folliculitis Decalvans Treatment
Folliculitis decalvans is a chronic condition that can last many years to decades. Once the hair has been lost due to scarring, regrowth is not possible. The goal of treatment is to prevent further scarring and to diminish the pain and drainage associated with active lesions. I have found that a combination of rifampin 300 mg b.i.d. with cephalexin 500 mg b.i.d. is very beneficial in achieving these goals. I initially treat patients with the antibiotic combination for one month. Most patients experience a marked decrease in disease activity with this treatment. I then have patients continue treatment for one month after the disease has become inactive. The treatment is then discontinued and the patient keeps a diary of disease activity, noting how long it takes for the disease to recur off treatment.
Eventually the patient is able to keep the disease under control by intermittent courses of the antibiotic combination. A typical regimen might be one or two months on the treatment alternating with 3 months off therapy. In my experience, most patients are able to control their disease using this approach. Topical therapy, including steroids and antibiotics, and intralesional steroids have all been ineffective in treating my patients with folliculitis decalvans.