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Article
February 1978

Pseudofolliculitis Capitis

Author Affiliations

Fort Lee, NJ

Arch Dermatol. 1978;114(2):290. doi:10.1001/archderm.1978.01640140098038
Abstract

To the Editor.—  One must challenge the propagation of several extraordinary misconceptions cited in a recent report on pseudofolliculitis capitis by Smith and Odom in the March 1977 Archives (113:328-329).The fact that pseudofolliculitis has not been seen in this area is probably more a reflection of people not shaving their heads than a trait peculiar to this family. Pseudofolliculitis does indeed "know... anatomical boundaries." On the shaved face, it is never seen on the upper lip and is most severe on the chin, the anterior neckline, and the middle of the cheek.1,2I have examined the necks of thousands of black patients, which are very closely clipped or shaved, and I have never seen pseudofolliculitis there. To consider the already doubly misnomered "acne keloid" now a type of pseudofolliculitis,3 is an outrage. Though many blacks associate the onset of dermatitis papillaris capillitii (acne keloid) with close shaving

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