Perifolliculitis capitis: successful control with alternate-day corticosteroids.

A case of perifolliculitis capitis is reported in which the patient was initially treated with high-dose intravnous antibiotics and topical antibacterial agents without success. Systemic corticosteroids were instituted, with rapid subsidence of disease activity. One year later, the patient remains on 5 mg of prednisone on alternate days, and is free of disease activity. In view of other more aggressive treatments reported in the literature for this disease, high-dosage prednisone with rapid change to alternate-day dosage is a reasonable initial course of action.