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das
Newbie
Joined: 28 Jun 2005
Posts: 13
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 Posted: 03/31/06 - 01:00 Post subject: ineffective folliculitis treatment |
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I am diagnosed with folliculitis decalvans few years ago. During this time, my doctor was prescribing me many different drugs and treatments to cure it. However, I realized this must be a chronic condition, since I cannot get rid of it. Can you tell me is it normal that I have experienced ineffective folliculitis treatment. Could it be that just I cannot find appropriate therapy?
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astrid
Silver Member
Joined: 20 Oct 2000
Posts: 268
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| Posted: 04/06/06 - 05:09 Post subject: |
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It is true that folliculitis declavans is chronic condition that can last many years to decades. Once the hair has been lost due to scarring, regrowth is not possible and you should not blame your doctor. The goal of treatment is to prevent further scarring. Treatment also has to diminish the pain and drainage associated with active lesions. I have found that a combination of Rifampin 300 mg with Cephalexin 500 mg is very beneficial in achieving these goals. Some doctors initially treat patients with the antibiotic combination for one month. I have heard most of their patients experience a marked decrease in disease activity with this treatment. Some of these patients continued treatment for one month after the disease has become inactive. Eventually the patient is able to keep the disease under control by intermittent courses of the antibiotic combination, so you cannot say this folliculitis treatment was completely ineffective. A typical regimen might be one or two months on the treatment alternating with 3 months off therapy, so you have to be patient. However, you have to know that topical therapy, including steroids and antibiotics, and intralesional steroids have all been ineffective in treating my patients with folliculitis decalvans, so you could ask your doctor about it.
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