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Dennis Faces Folliculitis Decalvans and Acne Keloidalis Nuchae

Dennis came to Dr. Sanusi Umar with two different scalp conditions. The short video focuses on the large plaque visible in his before image and the clinical decision Dr. Umar considered after Dennis had dealt with the problem for years.

Two Scalp Conditions in One Patient

Dennis came to Dr. Sanusi Umar with Folliculitis Decalvans and Acne Keloidalis Nuchae. The supplied caption describes his case as involving very severe scalp conditions and says more of his story and progress will be shared. The video itself begins by directing attention to Dennis’s before picture and the most visually prominent finding.

“What dominates the scene is this huge plaque,” Dr. Umar says while discussing the image. He adds that Dennis had been dealing with the condition for many years.

Close view of the back of Dennis’s shaved scalp with a large pink raised area and Dr. Umar in the foreground.
Dr. Umar discusses the large plaque visible on Dennis’s scalp as part of a case involving two scalp conditions.

A Treatment Decision for a Difficult Presentation

The short video does not attempt to tell Dennis’s entire treatment story. Instead, it captures the clinical problem at the point when Dr. Umar was weighing how to address a presentation he described as unusual.

Dr. Umar explains that an excision of this scale had not previously been done for a patient in this situation and says it was something he thought was worth trying. The video therefore centers on a treatment decision rather than a promised outcome.

Rear view of a shaved scalp with a large irregular pink raised area and Dr. Umar pictured at lower left.
A second view shows the extent of the scalp area Dr. Umar is discussing as he explains the treatment decision considered for Dennis.

Following Dennis’s Story

This short introduction establishes the starting point of Dennis’s case without revealing a later result. The supplied caption invites viewers to follow his progress and encourages people with similar scalp concerns to seek professional help. Dennis’s experience is presented as an individual case, not as a guarantee of what another patient should expect.

For viewers unfamiliar with Folliculitis Decalvans, Acne Keloidalis Nuchae, or patches of hair loss associated with difficult scalp presentations, Dennis’s story offers a close look at the kind of clinical challenge Dr. Umar evaluates in practice.

Watch the Short Video

Watch Dennis’s short video on YouTube

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Read more about Dennis’s case

Medical disclaimer: This article is for educational purposes and does not replace an individualized medical evaluation. Treatment decisions and outcomes vary by patient.

Further Reading

  1. https://dru.com/folliculitis-decalvans-akn-dennis/
  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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