Yeh Jennifer E, Hartman Rebecca I, Xu Jia, Hoang Mai, Yasuda Mariko R
Department of Dermatology, Massachusetts General Hospital, Boston, MA.
Dermatol Online J. 2019 Aug 15;25(8):13030/qt07n6v0hs.
Folliculitis decalvans is a rare scarring alopecia that presents with indurated, tender pustules and papules on the vertex and occipital scalp. Although systemic antibiotics with activity against Staphylococcus species provide some symptomatic improvement, folliculitis decalvans remains a significant management challenge and often exhibits a relapsing-and-remitting course. In this report, we posit the potential utility of medical grade honey as a safe and cost-effective adjuvant therapy in the treatment of folliculitis decalvans. We describe a patient with painful, boggy scalp pustules who achieved clearance of his scalp lesions with the addition of Manuka honey. To our knowledge, this report is the first to demonstrate the clinical use of honey in the management of folliculitis decalvans and may lend support to the role of Staphylococcus in the pathogenesis of this disease.
脱发性毛囊炎是一种罕见的瘢痕性脱发，表现为头顶和枕部头皮出现硬结性、触痛性脓疱和丘疹。尽管对葡萄球菌有活性的全身性抗生素可提供一些症状改善，但脱发性毛囊炎仍然是一个重大的治疗挑战，且常呈现复发-缓解病程。在本报告中，我们提出医用级蜂蜜作为脱发性毛囊炎治疗中一种安全且经济有效的辅助治疗方法的潜在效用。我们描述了一名患有疼痛性、肿胀性头皮脓疱的患者，在加用麦卢卡蜂蜜后头皮病变得以清除。据我们所知，本报告首次证明了蜂蜜在脱发性毛囊炎治疗中的临床应用，可能支持葡萄球菌在该疾病发病机制中的作用。
