{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T19:55:42Z","timestamp":1780084542002,"version":"3.54.0"},"reference-count":38,"publisher":"MJS Publishing, Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T00:00:00Z","timestamp":1708300800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Derm Venereol"],"abstract":"<jats:p>Folliculitis decalvans and lichen planopilaris phenotypic spectrum has been described as a form of cicatricial alopecia. The aim of this study is to describe the clinical and trichoscopic features and therapeutic management of this condition in a series of patients. A retrospective observational unicentre study was designed including patients with folliculitis decalvans and lichen planopilaris phenotypic spectrum confirmed with biopsy. A total of 31 patients (20 females) were included. The most common presentation was an isolated plaque of alopecia (61.3%) in the vertex. Trichoscopy revealed hair tufting with perifollicular white scaling in all cases. The duration of the condition was the only factor associated with large plaques (grade III) of alopecia (p\u2009=\u20090.026). The mean time to transition from the classic presentation of folliculitis decalvans to folliculitis decalvans and lichen planopilaris phenotypic spectrum was 5.2 years. The most frequently used treatments were topical steroids (80.6%), intralesional steroids (64.5%) and topical antibiotics (32.3%). Nine clinical relapses were detected after a mean time of 18 months (range 12\u201323 months). Folliculitis decalvans and lichen planopilaris phenotypic spectrum is an infrequent, but probably underdiagnosed, cicatricial alopecia. Treatment with anti-inflammatory drugs used for lichen planopilaris may be an adequate approach.<\/jats:p>","DOI":"10.2340\/actadv.v104.12373","type":"journal-article","created":{"date-parts":[[2024,2,19]],"date-time":"2024-02-19T10:58:45Z","timestamp":1708340325000},"page":"adv12373","source":"Crossref","is-referenced-by-count":10,"title":["Clinical Characterization and Treatment Response of Folliculitis Decalvans Lichen Planopilaris Phenotypic Spectrum: A Unicentre Retrospective Series of 31 Patients"],"prefix":"10.2340","volume":"104","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5037-4129","authenticated-orcid":false,"given":"Ana","family":"Meli\u00e1n-Olivera","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d3scar","family":"Moreno-Arrones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Burgos-Blasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1ngela","family":"Hermosa-Gelbard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pedro","family":"Ja\u00e9n-Olasolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergio","family":"Va\u00f1\u00f3-Galv\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Saceda-Corralo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2024,2,19]]},"reference":[{"key":"49354","doi-asserted-by":"crossref","unstructured":"Pindado-Ortega C, Saceda-Corralo D, Miguel-G\u00f3mez L, Buend\u00eda-Casta\u00f1o D, Fern\u00e1ndez-Gonz\u00e1lez P, Moreno-Arrones OM, et al. Impact of folliculitis decalvans on quality of life and subjective perception of disease. Skin Appendage Disord 2018; 4: 34-36.","DOI":"10.1159\/000478053"},{"key":"49355","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1159\/000478053","DOI":"10.1159\/000478053"},{"key":"49356","doi-asserted-by":"crossref","unstructured":"Saceda-Corralo D, Moreno-Arrones OM, Rodrigues-Barata R, Rubio-Lombra\u00f1a M, Mir-Bonaf\u00e9 JF, Morales-Raya C, et al. Trichoscopy activity scale for folliculitis decalvans. J Eur Acad Dermatol Venereol 2020; 34: e55-e57.","DOI":"10.1111\/jdv.15900"},{"key":"49357","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/jdv.15900","DOI":"10.1111\/jdv.15900"},{"key":"49358","doi-asserted-by":"crossref","unstructured":"Harries MJ, Trueb RM, Tosti A, Messenger AG, Chaudhry I, Whiting DA, et al. How not to get scar(r)ed: pointers to the correct diagnosis in patients with suspected primary cicatricial alopecia. 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Br J Dermatol 2022; 186: 905-907.","DOI":"10.1111\/bjd.20962"},{"key":"49379","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.1111\/bjd.20962","DOI":"10.1111\/bjd.20962"},{"key":"49380","doi-asserted-by":"crossref","unstructured":"Eyraud A, Milpied B, Thiolat D, Darrigade AS, Boniface K, Ta\u00efeb A, et al. Inflammasome activation characterizes lesional skin of folliculitis decalvans. Acta Derm Venereol 2018; 98: 570-575.","DOI":"10.2340\/00015555-2924"},{"key":"49381","doi-asserted-by":"crossref","unstructured":"https:\/\/doi.org\/10.2340\/00015555-2924","DOI":"10.2340\/00015555-2924"},{"key":"49382","doi-asserted-by":"crossref","unstructured":"Doche I, Romiti R, Hordinsky MK, Valente NS. \"Normal-appearing\" scalp areas are also affected in lichen planopilaris and frontal fibrosing alopecia: an observational histopathologic study of 40 patients. 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