Folliculitis decalvans is inflammation of the hair root, which leads to local hair loss, the appearance of red balls on the scalp that may contain pus, redness in the region and itching.
This type of folliculitis, also known as scalp folliculitis, is more common in adult men and is normally associated with bacteria. Staphylococcus aureus.
In the presence of signs and symptoms indicative of folliculitis decalvans, it is important to consult a dermatologist so that an evaluation can be carried out and the most appropriate treatment can be initiated, which is normally carried out using special shampoos, antibiotics and corticosteroids.

Main symptoms
The main symptoms of folliculitis decalvans are:
- Hair loss (alopecia);
- Red dots on the scalp, which may contain pus;
- Itching and pain in the region;
- Most sensitive region;
- Formation of wounds due to excessive itching.
It is important that a dermatologist is consulted in the presence of signs and symptoms of folliculitis, as this will allow a dermatological examination to be carried out and the most appropriate treatment indicated. Understand what a dermatological exam is and how it is done.
How the diagnosis is made
The diagnosis of folliculitis decalvans must be made by a dermatologist based on an assessment of the symptoms presented by the person and a detailed assessment of the scalp. In some cases, to rule out other changes to the scalp, such as a fungal infection, for example, the doctor may collect a small sample from the area and send it to the laboratory to identify the agent responsible for the symptoms.
Make an appointment with your nearest dermatologist, using the following tool, to assess your symptoms and begin the most appropriate treatment:
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Causes of folliculitis decalvans
The cause of folliculitis decalvans is not fully understood, but it is believed to occur due to a reaction to bacteria. Staphylococcus aureus, which can be naturally found in the skin. Although it may be associated with bacteria, folliculitis decalvans is not contagious.
How the treatment is carried out
The treatment of folliculitis decalvans must be guided by a dermatologist, and the use of special shampoos, anti-inflammatory and/or antibiotic solutions and topical corticosteroids are normally recommended. In some cases, the doctor may recommend the combined use of oral antibiotics. Check out more details about folliculitis treatment.
As folliculitis decalvans is a rare condition, there is no defined treatment for this condition, so a combination of medications and products capable of treating folliculitis and relieving symptoms is usually indicated.
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