Folliculitis decalvans treatment options.
Tips
- Shaving of the scalp may improve the condition.
- Resistance to rifampin may emerge if used as a monotherapy.
Medical treatment
Topical treatment
- Topical clindamycin + antiseptic shampoos
- Tacrolimus ointment
- Tar shampoos
- Topical keratolytics.
- Topical steroids to suppress inflammation.
Systemic treatment
- Oral rifampin 300 mg twice daily+ clindamycin 300 mg twice daily for 10 weeks.
- Oral Tetracyclines
- Dapsone : 75–100 mg daily for 2 months then maintenance dose of 25 mg daily.
- Isotretinoin: 0.5–1 mg/kg/day.
- Infliximab : 5 mg/kg.
- Systemic steroids: short course.
Physical treatment
- X-ray epilation.
- Laser epilation.
- Cryosurgery
- Surgical excision for scarring areas.
- Photodynamic therapy