Compounding in Folliculitis Decalvans
Trichoscopy of the scarring alopecia folliculitis decalvans displaying early (A) and late (B) phases of a phenomenon referred to as “compounding.”
Compounding of hairs in a affected person with folliculitis decalvans. The early stage (marked “A:) exhibits two follicles which are about to fuse collectively. The follicles marked “B” have already fused. This fusing is a everlasting findings.
Fusion is assumed to happen from neutrophil enzymes that destroy tissue and elements of the extracellular matrix and permit hairs to fuse.
Compounding happens when adjoining follicles fuse collectively. A “compound” follicle has 6 or extra hairs and it’s not unusual to see groupings of 10,15, 20 or extra in FD.
FD shouldn’t be the one situation to trigger compounding nevertheless it is without doubt one of the extra widespread. Pimples keloidalis and dissecting cellulitis will also be related to compounding of follicles.
Dr. Jeff Donovan is a Canadian and US board licensed dermatologist specializing completely in hair loss.
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