Folliculitis decalvans: a multicentre review of 82 patients
Identifieur interne : 001E06 ( Istex/Corpus ); précédent : 001E05; suivant : 001E07Folliculitis decalvans: a multicentre review of 82 patients
Auteurs : S. Va Alván ; A. M. Molina-Ruiz ; P. Fernández-Crehuet ; A. R. Rodrigues-Barata ; S. Arias-Santiago ; C. Serrano-Falc N ; A. Martorell-Calatayud ; D. Barco ; B. Pérez ; S. Serrano ; L. Requena ; R. Grimalt ; J. Paoli ; P. Jaén ; F. M. CamachoSource :
- Journal of the European Academy of Dermatology and Venereology [ 0926-9959 ] ; 2015-09.
Abstract
Background: Folliculitis decalvans (FD) is a rare neutrophilic scarring alopecia that represents a therapeutic challenge for dermatologists. Objective: To describe the epidemiology, comorbidities, clinical presentation, diagnostic findings and therapeutic options in a large series of patients with FD. Methods: This retrospective multicentre review includes patients diagnosed with FD based on clinical and histopathologic findings. The clinical severity was determined by the maximum diameter of the largest alopecic patch (slight: <2 cm, moderate: 2–4.99 cm, severe: 5 cm or more). Response to therapy was assessed as improvement, worsening or stabilization depending on the clinical symptoms (pruritus and trichodynia), inflammatory signs (erythema, pustules and crusts) and the extension of the alopecic patch. Results: Overall, 82 patients (52 males and 30 females) with a mean age of 35 years were included. No significant comorbidities were present. A family history was present in three males. Severe FD was observed in 17 patients (21%). The independent factors associated with severe FD after multivariate analysis were: onset of FD before 25 years of age and presence of pustules. Oral antibiotics (tetracyclines and the combination of clindamycin and rifampicin) improved 90% and 100% of the patients, with a mean duration of response of 4.6 and 7.2 months respectively. Conclusions: The onset of FD before 25 years of age and the presence of pustules within the alopecic patch were associated with severe FD. Tetracyclines and the combination of clindamycin and rifampicin were the most useful treatments.
Url:
DOI: 10.1111/jdv.12993
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Va Alván</name><affiliation><mods:affiliation>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</mods:affiliation></affiliation><affiliation><mods:affiliation>E-mail: sergiovano@yahoo.es</mods:affiliation></affiliation></author><author><name sortKey="Molina Uiz, A M" sort="Molina Uiz, A M" uniqKey="Molina Uiz A" first="A. M." last="Molina-Ruiz">A. M. Molina-Ruiz</name><affiliation><mods:affiliation>Fundación Jiménez Diaz, Madrid, Spain</mods:affiliation></affiliation></author><author><name sortKey="Fernandez Rehuet, P" sort="Fernandez Rehuet, P" uniqKey="Fernandez Rehuet P" first="P." last="Fernández-Crehuet">P. Fernández-Crehuet</name><affiliation><mods:affiliation>Alto Guadalquivir de Andújar, Jaén, Spain</mods:affiliation></affiliation></author><author><name sortKey="Rodrigues Arata, A R" sort="Rodrigues Arata, A R" uniqKey="Rodrigues Arata A" first="A. R." last="Rodrigues-Barata">A. R. Rodrigues-Barata</name><affiliation><mods:affiliation>Grupo Pedro Jaén, Madrid, Spain</mods:affiliation></affiliation></author><author><name sortKey="Arias Antiago, S" sort="Arias Antiago, S" uniqKey="Arias Antiago S" first="S." last="Arias-Santiago">S. Arias-Santiago</name><affiliation><mods:affiliation>Unidad de Dermatología Hospital Virgen de las Nieves, Instituto de Investigaciones Biosanitarias IBS, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain</mods:affiliation></affiliation></author><author><name sortKey="Serrano Alc N, C" sort="Serrano Alc N, C" uniqKey="Serrano Alc N C" first="C." last="Serrano-Falc N">C. Serrano-Falc N</name><affiliation><mods:affiliation>Guadix, Granada, Spain</mods:affiliation></affiliation></author><author><name sortKey="Martorell Alatayud, A" sort="Martorell Alatayud, A" uniqKey="Martorell Alatayud A" first="A." last="Martorell-Calatayud">A. Martorell-Calatayud</name><affiliation><mods:affiliation>Manises, Valencia, Spain</mods:affiliation></affiliation></author><author><name sortKey="Barco, D" sort="Barco, D" uniqKey="Barco D" first="D." last="Barco">D. Barco</name><affiliation><mods:affiliation>Teknon, Barcelona, Spain</mods:affiliation></affiliation></author><author><name sortKey="Perez, B" sort="Perez, B" uniqKey="Perez B" first="B." last="Pérez">B. Pérez</name><affiliation><mods:affiliation>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</mods:affiliation></affiliation></author><author><name sortKey="Serrano, S" sort="Serrano, S" uniqKey="Serrano S" first="S." last="Serrano">S. Serrano</name><affiliation><mods:affiliation>Universidad de Granada, Granada, Spain</mods:affiliation></affiliation></author><author><name sortKey="Requena, L" sort="Requena, L" uniqKey="Requena L" first="L." last="Requena">L. Requena</name><affiliation><mods:affiliation>Fundación Jiménez Diaz, Madrid, Spain</mods:affiliation></affiliation></author><author><name sortKey="Grimalt, R" sort="Grimalt, R" uniqKey="Grimalt R" first="R." last="Grimalt">R. Grimalt</name><affiliation><mods:affiliation>Universitat Internacional de Catalunya, Barcelona, Spain</mods:affiliation></affiliation></author><author><name sortKey="Paoli, J" sort="Paoli, J" uniqKey="Paoli J" first="J." last="Paoli">J. Paoli</name><affiliation><mods:affiliation>Sahlgrenska University Hospital, Gothenburg, Sweden</mods:affiliation></affiliation></author><author><name sortKey="Jaen, P" sort="Jaen, P" uniqKey="Jaen P" first="P." last="Jaén">P. Jaén</name><affiliation><mods:affiliation>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</mods:affiliation></affiliation></author><author><name sortKey="Camacho, F M" sort="Camacho, F M" uniqKey="Camacho F" first="F. M." last="Camacho">F. M. Camacho</name><affiliation><mods:affiliation>Virgen Macarena, Sevilla, Spain</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of the European Academy of Dermatology and Venereology</title><title level="j" type="alt">JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY</title><idno type="ISSN">0926-9959</idno><idno type="eISSN">1468-3083</idno><imprint><biblScope unit="vol">29</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1750">1750</biblScope><biblScope unit="page" to="1757">1757</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2015-09">2015-09</date></imprint><idno type="ISSN">0926-9959</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0926-9959</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract">Background: Folliculitis decalvans (FD) is a rare neutrophilic scarring alopecia that represents a therapeutic challenge for dermatologists. Objective: To describe the epidemiology, comorbidities, clinical presentation, diagnostic findings and therapeutic options in a large series of patients with FD. Methods: This retrospective multicentre review includes patients diagnosed with FD based on clinical and histopathologic findings. The clinical severity was determined by the maximum diameter of the largest alopecic patch (slight: <2 cm, moderate: 2–4.99 cm, severe: 5 cm or more). Response to therapy was assessed as improvement, worsening or stabilization depending on the clinical symptoms (pruritus and trichodynia), inflammatory signs (erythema, pustules and crusts) and the extension of the alopecic patch. Results: Overall, 82 patients (52 males and 30 females) with a mean age of 35 years were included. No significant comorbidities were present. A family history was present in three males. Severe FD was observed in 17 patients (21%). The independent factors associated with severe FD after multivariate analysis were: onset of FD before 25 years of age and presence of pustules. Oral antibiotics (tetracyclines and the combination of clindamycin and rifampicin) improved 90% and 100% of the patients, with a mean duration of response of 4.6 and 7.2 months respectively. Conclusions: The onset of FD before 25 years of age and the presence of pustules within the alopecic patch were associated with severe FD. Tetracyclines and the combination of clindamycin and rifampicin were the most useful treatments.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>S. Vañó‐Galván</name><affiliations><json:string>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</json:string><json:string>E-mail: sergiovano@yahoo.es</json:string></affiliations></json:item><json:item><name>A.M. Molina‐Ruiz</name><affiliations><json:string>Fundación Jiménez Diaz, Madrid, Spain</json:string></affiliations></json:item><json:item><name>P. Fernández‐Crehuet</name><affiliations><json:string>Alto Guadalquivir de Andújar, Jaén, Spain</json:string></affiliations></json:item><json:item><name>A. R. Rodrigues‐Barata</name><affiliations><json:string>Grupo Pedro Jaén, Madrid, Spain</json:string></affiliations></json:item><json:item><name>S. Arias‐Santiago</name><affiliations><json:string>Unidad de Dermatología Hospital Virgen de las Nieves, Instituto de Investigaciones Biosanitarias IBS, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain</json:string></affiliations></json:item><json:item><name>C. Serrano‐Falcón</name><affiliations><json:string>Guadix, Granada, Spain</json:string></affiliations></json:item><json:item><name>A. Martorell‐Calatayud</name><affiliations><json:string>Manises, Valencia, Spain</json:string></affiliations></json:item><json:item><name>D. Barco</name><affiliations><json:string>Teknon, Barcelona, Spain</json:string></affiliations></json:item><json:item><name>B. Pérez</name><affiliations><json:string>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</json:string></affiliations></json:item><json:item><name>S. Serrano</name><affiliations><json:string>Universidad de Granada, Granada, Spain</json:string></affiliations></json:item><json:item><name>L. Requena</name><affiliations><json:string>Fundación Jiménez Diaz, Madrid, Spain</json:string></affiliations></json:item><json:item><name>R. Grimalt</name><affiliations><json:string>Universitat Internacional de Catalunya, Barcelona, Spain</json:string></affiliations></json:item><json:item><name>J. Paoli</name><affiliations><json:string>Sahlgrenska University Hospital, Gothenburg, Sweden</json:string></affiliations></json:item><json:item><name>P. Jaén</name><affiliations><json:string>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</json:string></affiliations></json:item><json:item><name>F.M. Camacho</name><affiliations><json:string>Virgen Macarena, Sevilla, Spain</json:string></affiliations></json:item></author><articleId><json:string>JDV12993</json:string></articleId><arkIstex>ark:/67375/WNG-P9W0PD31-G</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Background: Folliculitis decalvans (FD) is a rare neutrophilic scarring alopecia that represents a therapeutic challenge for dermatologists. Objective: To describe the epidemiology, comorbidities, clinical presentation, diagnostic findings and therapeutic options in a large series of patients with FD. Methods: This retrospective multicentre review includes patients diagnosed with FD based on clinical and histopathologic findings. The clinical severity was determined by the maximum diameter of the largest alopecic patch (slight: >2 cm, moderate: 2–4.99 cm, severe: 5 cm or more). Response to therapy was assessed as improvement, worsening or stabilization depending on the clinical symptoms (pruritus and trichodynia), inflammatory signs (erythema, pustules and crusts) and the extension of the alopecic patch. Results: Overall, 82 patients (52 males and 30 females) with a mean age of 35 years were included. No significant comorbidities were present. A family history was present in three males. Severe FD was observed in 17 patients (21%). The independent factors associated with severe FD after multivariate analysis were: onset of FD before 25 years of age and presence of pustules. Oral antibiotics (tetracyclines and the combination of clindamycin and rifampicin) improved 90% and 100% of the patients, with a mean duration of response of 4.6 and 7.2 months respectively. Conclusions: The onset of FD before 25 years of age and the presence of pustules within the alopecic patch were associated with severe FD. 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<country key="ES" xml:lang="en">SPAIN</country></address></affiliation></author><author xml:id="author-0011"><persName><forename type="first">R.</forename><surname>Grimalt</surname></persName><affiliation><orgName type="institution">Universitat Internacional de Catalunya</orgName>
<address><settlement>Barcelona</settlement>
<country key="ES" xml:lang="en">SPAIN</country></address></affiliation></author><author xml:id="author-0012"><persName><forename type="first">J.</forename><surname>Paoli</surname></persName><affiliation><orgName type="institution">Sahlgrenska University Hospital</orgName>
<address><settlement>Gothenburg</settlement>
<country key="SE" xml:lang="en">SWEDEN</country></address></affiliation></author><author xml:id="author-0013"><persName><forename type="first">P.</forename><surname>Jaén</surname></persName><affiliation><orgName type="division">Hospital Ramón y Cajal</orgName>
<orgName type="institution">IRYCIS</orgName>
<orgName type="institution">Universidad de Alcalá</orgName>
<address><settlement>Madrid</settlement>
<country key="ES" xml:lang="en">SPAIN</country></address></affiliation></author><author xml:id="author-0014"><persName><forename type="first">F.M.</forename><surname>Camacho</surname></persName><affiliation><orgName type="institution">Virgen Macarena</orgName>
<address><settlement>Sevilla</settlement>
<country key="ES" xml:lang="en">SPAIN</country></address></affiliation></author><idno type="istex">96F36E7CCEBC7973CA91B8E4DE6A22D5C917D0AB</idno><idno type="ark">ark:/67375/WNG-P9W0PD31-G</idno><idno type="DOI">10.1111/jdv.12993</idno><idno type="unit">JDV12993</idno><idno type="toTypesetVersion">file:JDV.JDV12993.pdf</idno></analytic><monogr><title level="j" type="main">Journal of the European Academy of Dermatology and Venereology</title><title level="j" type="alt">JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY</title><idno type="pISSN">0926-9959</idno><idno type="eISSN">1468-3083</idno><idno type="book-DOI">10.1111/(ISSN)1468-3083</idno><idno type="book-part-DOI">10.1111/jdv.2015.29.issue-9</idno><idno type="product">JDV</idno><imprint><biblScope unit="vol">29</biblScope><biblScope unit="issue">9</biblScope><biblScope unit="page" from="1750">1750</biblScope><biblScope unit="page" to="1757">1757</biblScope><biblScope unit="page-count">8</biblScope><date type="published" when="2015-09"></date></imprint></monogr></biblStruct></sourceDesc></fileDesc><encodingDesc><schemaRef type="ODD" url="https://xml-schema.delivery.istex.fr/tei-istex.odd"></schemaRef><appInfo><application ident="pub2tei" version="1.0.10" when="2019-12-20"><label>pub2TEI-ISTEX</label><desc>A set of style sheets for converting XML documents encoded in various scientific publisher formats into a common TEI format.
<ref target="http://www.tei-c.org/">We use TEI</ref></desc></application></appInfo></encodingDesc><profileDesc><abstract style="main" xml:id="jdv12993-abs-0001"><head>Abstract</head><head>Background</head><p>Folliculitis decalvans (<hi rend="fc">FD</hi>) is a rare neutrophilic scarring alopecia that represents a therapeutic challenge for dermatologists.</p><head>Objective</head><p>To describe the epidemiology, comorbidities, clinical presentation, diagnostic findings and therapeutic options in a large series of patients with <hi rend="fc">FD</hi>.</p><head>Methods</head><p>This retrospective multicentre review includes patients diagnosed with <hi rend="fc">FD</hi> based on clinical and histopathologic findings. The clinical severity was determined by the maximum diameter of the largest alopecic patch (slight: <2 cm, moderate: 2–4.99 cm, severe: 5 cm or more). Response to therapy was assessed as improvement, worsening or stabilization depending on the clinical symptoms (pruritus and trichodynia), inflammatory signs (erythema, pustules and crusts) and the extension of the alopecic patch.</p><head>Results</head><p>Overall, 82 patients (52 males and 30 females) with a mean age of 35 years were included. No significant comorbidities were present. A family history was present in three males. Severe <hi rend="fc">FD</hi> was observed in 17 patients (21%). The independent factors associated with severe <hi rend="fc">FD</hi> after multivariate analysis were: onset of <hi rend="fc">FD</hi> before 25 years of age and presence of pustules. Oral antibiotics (tetracyclines and the combination of clindamycin and rifampicin) improved 90% and 100% of the patients, with a mean duration of response of 4.6 and 7.2 months respectively.</p><head>Conclusions</head><p>The onset of <hi rend="fc">FD</hi> before 25 years of age and the presence of pustules within the alopecic patch were associated with severe <hi rend="fc">FD</hi>. Tetracyclines and the combination of clindamycin and rifampicin were the most useful treatments.</p></abstract><textClass><keywords rend="articleCategory"><term>Original Article</term></keywords><keywords rend="tocHeading1"><term>ORIGINAL ARTICLES</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-P9W0PD31-G/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component type="serialArticle" version="2.0" xml:id="jdv12993" xml:lang="en"><header><publicationMeta level="product"><doi origin="wiley" registered="yes">10.1111/(ISSN)1468-3083</doi><issn type="print">0926-9959</issn><issn type="electronic">1468-3083</issn><idGroup><id type="product" value="JDV"></id></idGroup><titleGroup><title sort="JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY" type="main">Journal of the European Academy of Dermatology and Venereology</title><title type="short">J Eur Acad Dermatol Venereol</title></titleGroup></publicationMeta><publicationMeta level="part" position="90"><doi origin="wiley">10.1111/jdv.2015.29.issue-9</doi><copyright ownership="thirdParty">Copyright © 2015 European Academy of Dermatology and Venereology</copyright><numberingGroup><numbering type="journalVolume" number="29">29</numbering><numbering type="journalIssue">9</numbering></numberingGroup><coverDate startDate="2015-09">September 2015</coverDate></publicationMeta><publicationMeta level="unit" position="100" status="forIssue" type="article"><doi>10.1111/jdv.12993</doi><idGroup><id type="unit" value="JDV12993"></id></idGroup><countGroup><count number="8" type="pageTotal"></count></countGroup><titleGroup><title type="articleCategory">Original Article</title><title type="tocHeading1">ORIGINAL ARTICLES</title></titleGroup><copyright ownership="thirdParty">© 2015 European Academy of Dermatology and Venereology</copyright><eventGroup><event date="2014-10-01" type="manuscriptReceived"></event><event date="2015-01-07" type="manuscriptAccepted"></event><event agent="SPS" date="2015-01-16" type="xmlCreated"></event><event agent="SPS" date="2015-08-24" type="xmlCorrected"></event><event type="publishedOnlineEarlyUnpaginated" date="2015-02-12"></event><event type="firstOnline" date="2015-02-12"></event><event type="publishedOnlineFinalForm" date="2015-08-24"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.7.5 mode:FullText" date="2016-01-23"></event></eventGroup><numberingGroup><numbering type="pageFirst">1750</numbering><numbering type="pageLast">1757</numbering></numberingGroup><correspondenceTo>Correspondence: S. Vano‐Galvan. E‐mail: <email>sergiovano@yahoo.es</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JDV.JDV12993.pdf"></link></linkGroup></publicationMeta><contentMeta><titleGroup><title type="main">Folliculitis decalvans: a multicentre review of 82 patients</title><title type="shortAuthors">Vañó‐Galván <i>et al</i>.</title></titleGroup><creators><creator affiliationRef="#jdv12993-aff-0001" corresponding="yes" creatorRole="author" xml:id="jdv12993-cr-0001"><personName><givenNames>S.</givenNames> <familyName>Vañó‐Galván</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0002" creatorRole="author" xml:id="jdv12993-cr-0002"><personName><givenNames>A.M.</givenNames> <familyName>Molina‐Ruiz</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0003" creatorRole="author" xml:id="jdv12993-cr-0003"><personName><givenNames>P.</givenNames> <familyName>Fernández‐Crehuet</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0004" creatorRole="author" xml:id="jdv12993-cr-0004"><personName><givenNames>A. R.</givenNames> <familyName>Rodrigues‐Barata</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0005" creatorRole="author" xml:id="jdv12993-cr-0005"><personName><givenNames>S.</givenNames> <familyName>Arias‐Santiago</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0006" creatorRole="author" xml:id="jdv12993-cr-0006"><personName><givenNames>C.</givenNames> <familyName>Serrano‐Falcón</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0007" creatorRole="author" xml:id="jdv12993-cr-0007"><personName><givenNames>A.</givenNames> <familyName>Martorell‐Calatayud</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0008" creatorRole="author" xml:id="jdv12993-cr-0008"><personName><givenNames>D.</givenNames> <familyName>Barco</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0001" creatorRole="author" xml:id="jdv12993-cr-0009"><personName><givenNames>B.</givenNames> <familyName>Pérez</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0009" creatorRole="author" xml:id="jdv12993-cr-0010"><personName><givenNames>S.</givenNames> <familyName>Serrano</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0002" creatorRole="author" xml:id="jdv12993-cr-0011"><personName><givenNames>L.</givenNames> <familyName>Requena</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0010" creatorRole="author" xml:id="jdv12993-cr-0012"><personName><givenNames>R.</givenNames> <familyName>Grimalt</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0011" creatorRole="author" xml:id="jdv12993-cr-0013"><personName><givenNames>J.</givenNames> <familyName>Paoli</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0001" creatorRole="author" xml:id="jdv12993-cr-0014"><personName><givenNames>P.</givenNames> <familyName>Jaén</familyName></personName></creator><creator affiliationRef="#jdv12993-aff-0012" creatorRole="author" xml:id="jdv12993-cr-0015"><personName><givenNames>F.M.</givenNames> <familyName>Camacho</familyName></personName></creator></creators><affiliationGroup><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0001"><orgDiv>Hospital Ramón y Cajal</orgDiv> <orgName>IRYCIS</orgName> <orgName>Universidad de Alcalá</orgName> <address><city>Madrid</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0002"><orgName>Fundación Jiménez Diaz</orgName> <address><city>Madrid</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0003"><orgName>Alto Guadalquivir de Andújar</orgName> <address><city>Jaén</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0004"><orgName>Grupo Pedro Jaén</orgName> <address><city>Madrid</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0005"><orgName>Unidad de Dermatología Hospital Virgen de las Nieves</orgName> <orgName>Instituto de Investigaciones Biosanitarias IBS</orgName> <orgName>Hospitales Universitarios de Granada/Universidad de Granada</orgName> <address><city>Granada</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0006"><orgName>Guadix</orgName> <address><city>Granada</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0007"><orgName>Manises</orgName> <address><city>Valencia</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0008"><orgName>Teknon</orgName> <address><city>Barcelona</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0009"><orgName>Universidad de Granada</orgName> <address><city>Granada</city> <country>Spain</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0010"><orgName>Universitat Internacional de Catalunya</orgName> <address><city>Barcelona</city> <country>Spain</country></address></affiliation><affiliation countryCode="SE" type="organization" xml:id="jdv12993-aff-0011"><orgName>Sahlgrenska University Hospital</orgName> <address><city>Gothenburg</city> <country>Sweden</country></address></affiliation><affiliation countryCode="ES" type="organization" xml:id="jdv12993-aff-0012"><orgName>Virgen Macarena</orgName> <address><city>Sevilla</city> <country>Spain</country></address></affiliation></affiliationGroup><abstractGroup><abstract type="main" xml:id="jdv12993-abs-0001"><title type="main">Abstract</title><section xml:id="jdv12993-sec-0001"><title type="main">Background</title><p>Folliculitis decalvans (<fc>FD</fc>) is a rare neutrophilic scarring alopecia that represents a therapeutic challenge for dermatologists.</p></section><section xml:id="jdv12993-sec-0002"><title type="main">Objective</title><p>To describe the epidemiology, comorbidities, clinical presentation, diagnostic findings and therapeutic options in a large series of patients with <fc>FD</fc>.</p></section><section xml:id="jdv12993-sec-0003"><title type="main">Methods</title><p>This retrospective multicentre review includes patients diagnosed with <fc>FD</fc> based on clinical and histopathologic findings. The clinical severity was determined by the maximum diameter of the largest alopecic patch (slight: <2 cm, moderate: 2–4.99 cm, severe: 5 cm or more). Response to therapy was assessed as improvement, worsening or stabilization depending on the clinical symptoms (pruritus and trichodynia), inflammatory signs (erythema, pustules and crusts) and the extension of the alopecic patch.</p></section><section xml:id="jdv12993-sec-0004"><title type="main">Results</title><p>Overall, 82 patients (52 males and 30 females) with a mean age of 35 years were included. No significant comorbidities were present. A family history was present in three males. Severe <fc>FD</fc> was observed in 17 patients (21%). The independent factors associated with severe <fc>FD</fc> after multivariate analysis were: onset of <fc>FD</fc> before 25 years of age and presence of pustules. Oral antibiotics (tetracyclines and the combination of clindamycin and rifampicin) improved 90% and 100% of the patients, with a mean duration of response of 4.6 and 7.2 months respectively.</p></section><section xml:id="jdv12993-sec-0005"><title type="main">Conclusions</title><p>The onset of <fc>FD</fc> before 25 years of age and the presence of pustules within the alopecic patch were associated with severe <fc>FD</fc>. Tetracyclines and the combination of clindamycin and rifampicin were the most useful treatments.</p></section></abstract></abstractGroup></contentMeta><noteGroup xml:id="jdv12993-ntgp-0001"><note numbered="no" xml:id="jdv12993-note-0001"><p><b>Conflicts of interest</b></p><p>The authors state no conflict of interest.</p></note><note numbered="no" xml:id="jdv12993-note-0002"><p><b>Funding sources</b></p><p>None declared.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Folliculitis decalvans: a multicentre review of 82 patients</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Folliculitis decalvans: a multicentre review of 82 patients</title></titleInfo><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Vañó‐Galván</namePart><affiliation>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</affiliation><affiliation>E-mail: sergiovano@yahoo.es</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.M.</namePart><namePart type="family">Molina‐Ruiz</namePart><affiliation>Fundación Jiménez Diaz, Madrid, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Fernández‐Crehuet</namePart><affiliation>Alto Guadalquivir de Andújar, Jaén, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A. R.</namePart><namePart type="family">Rodrigues‐Barata</namePart><affiliation>Grupo Pedro Jaén, Madrid, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Arias‐Santiago</namePart><affiliation>Unidad de Dermatología Hospital Virgen de las Nieves, Instituto de Investigaciones Biosanitarias IBS, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C.</namePart><namePart type="family">Serrano‐Falcón</namePart><affiliation>Guadix, Granada, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">A.</namePart><namePart type="family">Martorell‐Calatayud</namePart><affiliation>Manises, Valencia, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.</namePart><namePart type="family">Barco</namePart><affiliation>Teknon, Barcelona, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">B.</namePart><namePart type="family">Pérez</namePart><affiliation>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">S.</namePart><namePart type="family">Serrano</namePart><affiliation>Universidad de Granada, Granada, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">L.</namePart><namePart type="family">Requena</namePart><affiliation>Fundación Jiménez Diaz, Madrid, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R.</namePart><namePart type="family">Grimalt</namePart><affiliation>Universitat Internacional de Catalunya, Barcelona, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.</namePart><namePart type="family">Paoli</namePart><affiliation>Sahlgrenska University Hospital, Gothenburg, Sweden</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">P.</namePart><namePart type="family">Jaén</namePart><affiliation>Hospital Ramón y Cajal, IRYCIS, Universidad de Alcalá, Madrid, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F.M.</namePart><namePart type="family">Camacho</namePart><affiliation>Virgen Macarena, Sevilla, Spain</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><dateIssued encoding="w3cdtf">2015-09</dateIssued><dateCreated encoding="w3cdtf">2015-01-16</dateCreated><dateCaptured encoding="w3cdtf">2014-10-01</dateCaptured><dateValid encoding="w3cdtf">2015-01-07</dateValid><copyrightDate encoding="w3cdtf">2015</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract>Background: Folliculitis decalvans (FD) is a rare neutrophilic scarring alopecia that represents a therapeutic challenge for dermatologists. Objective: To describe the epidemiology, comorbidities, clinical presentation, diagnostic findings and therapeutic options in a large series of patients with FD. Methods: This retrospective multicentre review includes patients diagnosed with FD based on clinical and histopathologic findings. The clinical severity was determined by the maximum diameter of the largest alopecic patch (slight: <2 cm, moderate: 2–4.99 cm, severe: 5 cm or more). Response to therapy was assessed as improvement, worsening or stabilization depending on the clinical symptoms (pruritus and trichodynia), inflammatory signs (erythema, pustules and crusts) and the extension of the alopecic patch. Results: Overall, 82 patients (52 males and 30 females) with a mean age of 35 years were included. No significant comorbidities were present. A family history was present in three males. Severe FD was observed in 17 patients (21%). The independent factors associated with severe FD after multivariate analysis were: onset of FD before 25 years of age and presence of pustules. Oral antibiotics (tetracyclines and the combination of clindamycin and rifampicin) improved 90% and 100% of the patients, with a mean duration of response of 4.6 and 7.2 months respectively. Conclusions: The onset of FD before 25 years of age and the presence of pustules within the alopecic patch were associated with severe FD. Tetracyclines and the combination of clindamycin and rifampicin were the most useful treatments.</abstract><relatedItem type="host"><titleInfo><title>Journal of the European Academy of Dermatology and Venereology</title></titleInfo><titleInfo type="abbreviated"><title>J Eur Acad Dermatol Venereol</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Original Article</topic><topic>ORIGINAL ARTICLES</topic></subject><identifier type="ISSN">0926-9959</identifier><identifier type="eISSN">1468-3083</identifier><identifier type="DOI">10.1111/(ISSN)1468-3083</identifier><identifier type="PublisherID">JDV</identifier><part><date>2015</date><detail type="volume"><caption>vol.</caption><number>29</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>1750</start><end>1757</end><total>8</total></extent></part></relatedItem><relatedItem type="references" displayLabel="jdv12993-cit-0001"><titleInfo><title>Folliculitis decalvans including tufted folliculitis: clinical, histological and therapeutic findings</title></titleInfo><name type="personal"><namePart type="given">JJ</namePart><namePart type="family">Powell</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">RP</namePart><namePart type="family">Dawber</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">K</namePart><namePart type="family">Gatter</namePart><role><roleTerm type="text">author</roleTerm></role></name><genre>journal-article</genre><note type="citation/reference">Powell JJ, Dawber RP, Gatter K. 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