Diagnosis
Because DCS can look like other scalp conditions (such as fungal infections, folliculitis decalvans, or lupus), diagnosis can be tricky. A dermatologist may perform:
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Physical examination of the scalp
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Dermatoscopy (scalp magnification)
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Biopsy to confirm inflammation pattern
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Culture tests if bacterial infection is suspected
Early diagnosis is important to prevent irreversible scarring.

