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Tufted hair folliculitis.
Journal of the American Academy of Dermatology
|November 1, 1989
Summary
A rare case of scarring alopecia presented with unique hair tufts. Surgical excision successfully treated the condition, suggesting nevoid lesions as the cause.
Area of Science:
- Dermatology
- Pathology
Background:
- Scarring alopecia is a group of disorders characterized by the destruction of hair follicles and their replacement by scar tissue.
- Understanding the etiology of scarring alopecia is crucial for effective treatment and management.
Observation:
- A case of scarring alopecia presented with two distinct, tender, and inflamed occipital areas.
- These areas exhibited residual hair tufts, with each tuft containing 10-15 hairs originating from individual follicles.
- Histopathology revealed inflammation and scarring in the papillary and mid dermis, with relative sparing of follicles in deeper layers.
Findings:
- The unique presentation involved hair follicles converging to a single epidermal opening, forming tufts.
- Pathological examination indicated inflammation and scarring primarily affecting the upper dermis.
- Surgical excision of the affected areas resulted in successful treatment.
Implications:
- The findings suggest that these tufted areas may represent nevoid lesions that became inflamed and scarred.
- This case expands the differential diagnosis for scarring alopecia with unusual follicular findings.
- Surgical intervention can be an effective treatment for localized scarring alopecia of this nature.