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What is Folliculitis Decalvans?

Published on March 16, 2022. Last Updated on March 18, 2022.

What is Folliculitis Decalvans: Folliculitis Decalvans (FD) is a rare, chronic (long-term) cicatricial (scarring) alopecia that occurs in adults. FD occurs on the scalp and is known to cause permanent hair loss due to the scarring and prolonged autoimmune response associated with it.

Folliculitis Decalvans is derived from Latin and means “inflammation of the hair root associated with hair loss.”

Specifically, Folliculitis Decalvans (FD) is classified as primary cicatricial or scarring alopecia, a group of disorders in which the inflammatory process targets the hair follicle, resulting in follicular destruction (hair loss) that can eventually lead to permanent hair loss.

Example of Folliculitis Decalvans (FD) Patient #1 - Dr. U Skin & Hair Clinic, The Bumpinator
Example of Folliculitis Decalvans (FD) Patient #1 – Dr. U Skin & Hair Clinic, The Bumpinator

Symptoms of Folliculitis Decalvans

Some of the reported symptoms associated with FD include:

  1. Temporary or Permanent Hair Loss
  2. Patchy Hair Loss
  3. Irritated Spots
  4. Pimple-Like Sores Around Affected Area
  5. Pain, Discomfort Centered Around Affected Area
  6. Tufting of Hairs Growing Out of a Single Follicle
  7. Redness or Swelling of Affected Area
  8. Scaly or Crusted Patches of Skin Surrounding Affected Area
  9. Scarring of the Scalp

What Causes Folliculitis Decalvans

Currently the cause of Folliculitis Decalvans (FD) is unknown. Medical experts speculate that this condition is perhaps caused by an abnormal response to bacteria, in particular Staphylococcus aureus.

On the other hand, Dr. Sanusi Umar of Dr. U Skin & Hair Clinic, AKA The Bumpinator, believes that Folliculitis Decalvans (FD) may be associated with another condition, also currently being studied, called Acne Keloidalis Nuchae (AKN) [1].

Based on these associations between Acne Keloidalis Nuchae and Folliculitis Decalvans, which may be able to be treated using Dr. Sanusi Umar AKA The Bumpinator’s own invented methods, using his own invented procedures and equipment, this new finding may pose as a significant and novel milestone within the medical community, as Dr. U is one of the few doctors nationwide, if not in the world, who has been able to successfully treat both of these currently unknown conditions using his own personalized methods and procedures.

Dr. U is a pioneer in the field of Acne Keloidalis Nuchae research and removal and has been referred to by many doctors regarding severe cases of AKN removal successfully.

Additionally, Dr. U supports the finding that Folliculitis Decalvans has a tendency to affect mostly people of color [1].

Dr. U AKA The Bumpinator has documented this possible association between Acne Keloidalis Nuchae and Folliculitis Decalvans in his published AKN Classification paper here.

What Folliculitis Decalvans is Not

FD is not a contagious condition, and it is not a type of skin cancer, nor a keloid.

Who is Affected by Folliculitis Decalvans (FD)?

Folliculitis Decalvans is a relatively rare condition that accounts for 3% of 3133 diagnosis of alopecia and 11% of 840 diagnoses of cicatricial alopecia [2]. 

FD affects both men and women, but men more commonly. It is not known to be hereditary, although there are reports of it affecting members of the same family.

As previously mentioned, Dr. Sanusi Umar AKA Dr. U or The Bumpinator believes that Folliculitis Decalvans (FD) has a tendency to affect mostly people of color [1].

Does Folliculitis Decalvans Hurt?

Patients who have had Folliculitis Decalvans are known to report pruritus (skin itching) or pain. FD can cause the area of the scalp to become itchy and painful, sometimes feeling tight. At other times, no discomfort may be felt.

What Does Folliculitis Decalvans Look Like?

FD generally presents itself as an “expanding patch of alopecia with peripheral pustules on the scalp.”[3]

The affected area of the scalp may become red and swollen and may form scaly areas, scabs, and crusts. Pus-filled nodes may develop, most commonly on the back of the head, but any other part of the scalp may be involved [4].

Another characteristic feature of Folliculitis Decalvans (FD) can be seen in “tufting.” Tufting is a condition in which several hairs exit from the same hair follicle on the scalp skin. It may lead to an appearance of hair similar to the bristles of a toothbrush. Bald patches can eventually develop and increase in size, leaving permanent scarring hair loss. The medical term for this permanent hair loss through scarring is known as “cicatricial alopecia.”

Folliculitis Decalvans (FD) - Patient Example of Tufting and Crusting. Dr. U Skin & Hair Clinic - Dr. Sanusi Umar AKA The Bumpinator.
Folliculitis Decalvans (FD) – Patient Example of Tufting and Crusting

How is Folliculitis Decalvans Diagnosed?

Diagnosis can generally be made by a dermatologist examining your skin, sometimes using a handheld magnifying light to look more closely at the hair follicles.

In some cases where additional confirmation is needed, some dermatologists may require a skin sample (skin biopsy), or a skin swab taken with a cotton wool bud in order to confirm the nature of the condition.

Folliculitis Decalvans Patient Example – Before and After Surgical Removal by The Bumpinator

FD - Folliculitis Decalvans Surgical Removal Before and After Patient Results, 1-Year Post Surgery - Dr. U AKA The Bumpinator, Dr. U Skin & Hair Clinic.
FD – Folliculitis Decalvans Surgical Removal Before and After Patient Results, 1-Year Post Surgery – Dr. U AKA The Bumpinator, Dr. U Skin & Hair Clinic. In the after picture on the right, patient also suffered from AKN (Acne Keloidalis Nuchae) that were safely and permanently removed by Dr. U AKA The Bumpinator and healed using his own invented, patented Athena Suture Kits shown on the top corner of the right picture, behind the patient’s head.

Treatment for Folliculitis Decalvans

There is currently no standard effective treatment for Folliculitis Decalvans.

Generally, Folliculitis Decalvans (FD) is treated with systemic antibiotics.

Other forms of treatments may involve a combination of medicated shampoos, anti-inflammatory, and antibacterial scalp, oral antibiotics, combinations of antibiotics, steroid injections, steroid creams, lotions, ointments, or more. Yet, most of these general treatments commonly practiced for Folliculitis Decalvans (FD) only offers a temporary, not permanent solution to the problem.

Known as a relentless condition, treating Folliculitis Decalvans (FD) using these methods mentioned above may only lead to constant visits to the doctor or dermatologist for the patient, such as constant injections, that may not be the best solution to the patient’s overall health. Additionally, due to the relentless nature of this condition, untreated or improperly treated Folliculitis Decalvans (FD) using these methods mentioned above will eventually lead to a worsening of this condition and permanent hair loss.


Fortunately, there may be a permanent solution.

Dr. Sanusi Umar, AKA The Bumpinator, has developed his own personalized approach to the permanent elimination of Folliculitis Decalvans (FD).

Using his own specialized procedures and inventions he created such as his patented Athena Suture Kits, Dr. Sanusi Umar AKA The Bumpinator has been able to successfully eliminate Folliculitis Decalvans (FD) in several happy and satisfied patients using his own combination of personal inventions and procedures, laser surgery, non-pharmaceutical botanicals, and in some rare cases, a combination of these elements along with radiation therapy.

Do Not Wait. Folliculitis Decalvans is Relentless and Can Worsen Over Time

If you suspect that you have Folliculitis Decalvans (FD), bumps on the back of your head that won’t go away, or is painful or uncomfortable, it may be time to get it checked by a licensed dermatologist who specializes in these rare skin conditions.

Schedule a free video consultation now with Dr. Bumpinator using the button below to help treat your condition immediately, before your condition gets any worse with time.

Claim your free consultation now to see how Dr. U AKA Dr. Bumpinator Can Help Your AKN.

Further Reading

Keloid Scar Treatment: The Bumpinator Method of Ridding Keloids Permanently

What is a Keloid Scar? How do I Prevent it?

Large AKN Bump Removal: Amazing Before & After AKN Surgery Results

Dr. U AKA The Bumpinator’s Anti-AKN & Anti-FD Invention: Athena Suture Kits


1. Sanusi Umar, J., 2022. A Retrospective Cohort Study and Clinical Classification System of Acne Keloidalis Nuchae. [online] PubMed Central (PMC). Available at: <https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8142833/> [Accessed 17 March 2022].

2. Vañó-Galván, S., Saceda-Corralo, D., Blume-Peytavi, U., Cucchía, J., Dlova, N., Gavazzoni Dias, M., Grimalt, R., Guzmán-Sánchez, D., Harries, M., Ho, A., Holmes, S., Larrondo, J., Mosam, A., Oliveira-Soares, R., Pinto, G., Piraccini, B., Pirmez, R., De la Rosa Carrillo, D., Rudnicka, L., Shapiro, J., Sinclair, R., Tosti, A., Trüeb, R., Vogt, A. and Miteva, M., 2022. Frequency of the Types of Alopecia at Twenty-Two Specialist Hair Clinics: A Multicenter Study.

3. Uptodate.com. 2022. UpToDate. [online] Available at: <https://www.uptodate.com/contents/folliculitis-decalvans#:~:text=Folliculitis%20decalvans%20(FD)%20is%20a,experience%20associated%20pruritus%20or%20pain.> [Accessed 16 March 2022].\

4. Bad.org.uk. 2022. [online] Available at: <https://www.bad.org.uk/shared/get-file.ashx?id=165&=document> [Accessed 16 March 2022].