Re: Need some help, pretty please.

Chinasky,
Are you a male or female? Do you have any facial Acne along with the scalp folliculitis, particularly in the beard are (if male)? You should be happy that your lab results didn't grow any pathogenic bacteria. Have you had a biopsy? Reviewing your symptoms I am confident you have a chronic non-scarring scalp folliculitis. See here; http://www.ncbi.nlm.nih.gov/pubmed/87084?ordinalpos=4&itool=EntrezSystem2.PEn...
. I tend to view it this disease as a sebaceous abnormality. Most develop it later in life and have dry scalps. Lack of proper sebaceous excretion and composition causes abnormalities in the desquamation of the inner root sheath. Isotretinoin shrinks the sebaceous glands to the point where they lose there effect on hair growth in that the inner root sheath doesn't desquamate at all and exits the follicle with the hair. When sebaceous activity returns the abnormal content (particularly low monunsaturated fatty acids-probably due to an abnormality in COA-desaturase gene) partially desquamates the sheath but not fully and this keratinous material clogs the superficial part of the follicle. The abnormal sebaceous content is stagnated and resident bacteria overgrows. A very similar process to acne. However this explains why it does not occur in areas where there are no terminal hairs or low sebaceous activity. Low dose accutane seems very effective. Future treatments for Acne may hold promise. Things I would do...supplement with omega 3 fatty acids, try safflower/olive/jojoba oil soaks (oleic acid may have a desquamating effect on the root sheath) and try oral zinc. I am not against ultra low-dose isotretinoin (i.e. 10mg every third day) but be sure to have your blood work done and have a radiologist check for bone abnormalities(rare). Good Luck Tweet