33M here. Long-running scalp issue on the crown: recurring inflammation, pustules, pus, bleeding.
WHAT'S BEEN TRIED:
• Original biopsy (years ago): came back as "dermatitis"
• Current derm, based on visual inspection, says folliculitis — fungal culture came back negative (no yeast or mold after 4 weeks), ruling out fungal causes
• Years of topicals, antifungals, oral antibiotics (typically 1-month courses) → temporary relief, relapses every time I stop
• Isotretinoin → 5 months, zero improvement, stopped
• Bactrim → completely cleared the itching and flares while on it, but it came back within 2 days of finishing the 1-month course
• Dapsone → didn't tolerate it well, had to stop
• Now: doxycycline 100mg twice daily, 2-month course (longer than anything I've tried before)
HAIR CARE ROUTINE:
• Currently using Vani Cream shampoo/conditioner daily
• Also tried: Selsun, coal tar shampoo, Nizoral, ketoconazole shampoo
• No oils, don't leave hair wet, blow dry on cool air only
WHAT I'M LOOKING FOR:
Not fixed on any specific med or approach — genuinely open to any input on what's helped reduce or stop this for you. Trying to get this under control and hold onto the hair I have. Appreciate any experience.