By Gary M. White, MD

Keratosis follicularis spinulosa decalvans (KFSD) is an X-linked disorder characterized by widespread hyperkeratotic follicular papules (including keratosis pilaris-like lesions), facial erythema, hypotrichosis and progressive alopecia of the scalp, eyelashes, and eyebrows.


Extensive keratosis pilaris associated with scarring alopecia is characteristic. Other features include atopy, PPK, and photophobia.


There is no specific treatment for KFSD. Various drugs have been tried to delay scarring alopecia such as isotretinoin and dapsone. Emollients, topical steroid, and keratolytic agents may be tried. Acitretin benefited one patient.


Int J Trichology 2013;5:29


Homepage | FAQs | Contact Dr. White

It is not the intention of to provide specific medical advice, diagnosis or treatment. only intends to provide users with information regarding various medical conditions for educational purposes and will not provide specific medical advice. Information on is not intended as a substitute for seeking medical treatment and you should always seek the advice of a qualified healthcare provider for diagnosis and for answers to your individual questions. Information contained on should never cause you to disregard professional medical advice or delay seeking treatment. If you live in the United States and believe you are having a medical emergency call 911 immediately.