DOI: https://doi.org/10.36347/sasjm.2025.v11i06.011

Pages: 661-665

Folliculitis decalvans is a rare condition classified under neutrophilic primary scarring alopecias. Its etiopathogenesis has been linked to scalp colonization, mainly by Staphylococcus aureus, and to disruptions in the host's local immune response. Multiple treatment options exist, but none are specific or entirely effective. Oral antistaphylococcal antibiotics are commonly used, though recurrences are frequent. This is a chronic and progressive disease that leads to irreversible sequelae, which underscores the importance of early clinical diagnosis, with tufted hairs being a key diagnostic sign. This case is reported due to its unusual presentation in terms of patient age and sex.