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Does active folliculitus decalvans disqualify a patient's candidacy for hair restoration? (Photos)

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1987SNKSep 2, 2017
My diagnosis is folliculitus decalvans. It started in 2000 and has worsens with time. I'm balding and have bleeding sores with puss and crust that do not respond to minocycline, doxycycline, clindamycin (oral and topical), rifampicin, tretinoin, cephalexin, clobetasol, or accutane. The only other recommended alternative is dapsone. My confidence is ruined and anxiety is through the roof. Is hair restoration even an option for me?

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Jeff Donovan, MD, PhD
Certified Dermatologist
Answered on Sep 3, 2017
Answer
Dr. William Rassman, MD (retired)
Hair Restoration Surgeon, Board Certified in General Surgery
Answered on Sep 3, 2017
Answer
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Ilhan Serdaroglu, MD

Pollution does not cause hair loss itself, so you may need to have a full exam with an hair surgeon, internist and/or endocrinologist to find out any reason/restoration for hair loss.

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Jeff Donovan, MD, PhD

Anything is possible. But the chances of spray paint in this situation directly impacting hair loss would be quite low. If it were, I would suspect you would have a toxic response with possible lung issues skin and other systemic issues too. In other words you would be unwell. If for any reason...

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William Rassman, MD (retired)

This could be a problem to treat over the internet. CTE is a complicated problem for women and it requires much more information which is not supplied here

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