Folliculitis Decalvans in Darker Skin Types

Folliculitis Decalvans: Trichoscopy in Darker Skin Types

Folliculitis decalvans is a type of scarring alopecia (scarring hair loss). It is rare. Men are more commonly affected than women.  Folliculitis decalvans in black men may take on a different appearance than patients with lighter colored skin. However, crusting, pustules and bleeding are frequently present. Tufting may be less common.

Dissecting cellulitis, tinea capitis, atypical bacterial and fungal infections and rare conditions like adult onset Langerhans cell histiocytosis can mimic folliculitis decalvans. A biopsy and culture should be done in atypical presentations.