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The follicular microbiome in hair-follicle-associated inflammatory diseases: A systematic review - PubMed

4 hours ago
  • #hair disorders
  • #systematic review
  • #microbiome
  • The review examined the bacterial microbiome of hair follicles in inflammatory hair-follicle-related diseases.
  • It included 55 studies (2011 patients from 19 countries) published between 2007 and August 2024.
  • Methodologies varied widely across studies in sampling, storage, DNA extraction, sequencing, and analysis.
  • Recurrent alterations involved Cutibacterium and Staphylococcus genera across multiple diseases.
  • Staphylococcus generally showed increased relative abundance, especially in scarring alopecias, seborrheic dermatitis/dandruff, and acne.
  • Cutibacterium abundance was reduced in seborrheic dermatitis/dandruff but appeared more prevalent in androgenetic alopecia.
  • Findings for Cutibacterium in scarring alopecias and acne were inconsistent, while results in alopecia areata and rosacea were inconclusive.
  • Hidradenitis suppurativa suggested enrichment of anaerobic opportunists like Porphyromonas and Prevotella.
  • The causal significance of observed microbiome shifts remains unclear, necessitating larger, standardized studies with functional analyses.