Trichoscopic stages of dissecting cellulitis: a potential complementary tool to clinical assessment

Low‐dose isotretinoin as a therapeutic option for dissecting cellulitis

“…DCS at beginning of treatment was classified on three stages based on clinical and trichoscopic features, according to a previous study proposal. 8 We elected as the outcome the percentage of patients with a positive response after treatment, and used McNemar test of symmetry for paired nominal data to evaluate if the percent changed significantly from zero after treatment. Findings revealed a statistically overall significant reduction (P < .001) of inflammatory activity regardless of disease stage at beginning of treatment (Table 1).…”

Low‐dose oral isotretinoin in a young female with dissecting cellulitis

“…If an inflammatory process recurs or is not contained, scarring alopecia will result. 2 In earlier stages, DC may simulate alopecia areata on trichoscopy. In the abscedens stage, inflammatory features prevail.…”

“…The fibrotic stage has trichoscopic features resembling final phases of scarring alopecias. 2 Dissecting cellulitis predominantly affects Afro-descendent men (98%), and the literature regarding cases in women and children is scarce. 1,3 DC-like tinea capitis is the main differential diagnosis and should be considered, especially in children.…”

“…the extent and severity of the disease. 2 Trichoscopy increases diagnostic accuracy and allows better follow-up. 2 Therapeutic management of DC is often challenging 1 ; systemic antibiotics may be effective in inflammatory stages, although oral isotretinoin (OI) is considered the most effective therapy.…”

“…2 Trichoscopy increases diagnostic accuracy and allows better follow-up. 2 Therapeutic management of DC is often challenging 1 ; systemic antibiotics may be effective in inflammatory stages, although oral isotretinoin (OI) is considered the most effective therapy. 1 This article reports a pediatric female case of DC with an excellent response to low-dose oral isotretinoin (LDOI).…”