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Video: Folliculitis Decalvans: Casimiro’s Long Search for Help

For nearly 15 years, Casimiro lived with a scalp condition involving folliculitis decalvans and Acne Keloidalis Nuchae. After repeated attempts to find help, a dermatologist recognized the seriousness of his case and connected him with Dr. Sanusi Umar.

Nearly 15 Years of Searching for Answers

Casimiro opens the short video by explaining that he had been dealing with the condition for about 15 years. Over that time, he sought care from private doctors and through the public health system. His account is brief, but the pattern is clear: he kept looking for a path forward even when a lasting solution remained out of reach.

The conditions named in the supplied materials are Folliculitis Decalvans and Acne Keloidalis Nuchae. The video does not provide a full medical history or treatment record, so this short video stays with Casimiro’s own account of the search for help rather than adding details that are not shown.

Close-up side view of a patient’s scalp with a large raised area while gloved hands examine the scalp.
A close-up from the short video shows the extent of the scalp condition that prompted continued efforts to find specialized care.

A Dermatologist Recognizes the Seriousness of the Case

A turning point came when Casimiro saw dermatologist Dr. Clara Madrid. According to his recollection, she recognized that his case required a different level of attention and told him, “Your case is very serious, and we will try to find a solution.”

Casimiro says Dr. Madrid was the physician who ultimately made the connection with Dr. Umar. That referral matters because it shifted the story from repeated attempts to obtain care toward a specialized evaluation with a physician experienced in complex scalp disorders.

Dr. Sanusi Umar stands beside a seated patient during a clinic visit, with the patient’s scalp visible from the side.
The referral connected Casimiro with Dr. Sanusi Umar, shown here during the clinical encounter featured in the short video.

The Referral to Dr. Sanusi Umar

The short video ends at the beginning of the next phase. Casimiro recalls that Dr. Madrid contacted Dr. Umar and expressed confidence that he could help. The source material does not show the eventual treatment plan or outcome in this short video, so those details are intentionally left for later parts of the story.

What is established here is the persistence behind the referral. Complex scalp conditions can require repeated evaluation and an individualized approach. For Casimiro, the important development in this short video is that after years of searching, he was connected with Dr. Sanusi Umar for the next step in his care.

Casimiro’s story continues beyond this referral. Follow his progress to see what happens next after he is connected with Dr. Umar.

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Medical Disclaimer

This article describes one patient’s experience and is provided for educational purposes only. Individual results vary. Diagnosis and treatment should be individualized and discussed with a qualified medical professional.

Further Reading

  1. https://dru.com/bumpinator-docuseries-anwar-folliculitis-decalvans/
  2. Umar S, Waterman A, Ton D, Shitabata P. Refractory Folliculitis Decalvans Treatment Success with a Novel Surgical Excision Approach Using Guarded High-Tension Sutures. Clin Cosmet Investig Dermatol. 2023 Sep 1;16:2381-2390. doi: 10.2147/CCID.S422077. PMID: 37675182; PMCID: PMC10478779.
    https://www.dovepress.com/refractory-folliculitis-decalvans-treatment-success-with-a-novel-surgi-peer-reviewed-fulltext-article-CCID

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