Dissecting cellulitis of the scalp

Innovative Management of Recalcitrant Dissecting Cellulitis With Compression Therapy

“…Dissecting cellulitis is a rare form of scalp folliculitis. It has a higher prevalence in black men in their second to fourth decades . It is one of the follicular occlusion triad that also includes acne conglobata and hidradenitis suppurativa .…”

“…It has a higher prevalence in black men in their second to fourth decades . It is one of the follicular occlusion triad that also includes acne conglobata and hidradenitis suppurativa . This association suggests a common pathogenic mechanism in which hair follicles are blocked with keratin, resulting in inflammation and follicular destruction.…”

“…This association suggests a common pathogenic mechanism in which hair follicles are blocked with keratin, resulting in inflammation and follicular destruction. Long-standing disease results in scarring, and secondary bacterial infection may occur …”

“…Management of this condition includes medical and sometimes surgical treatments, but disease control can be challenging, and therapies are often ineffective or only temporarily effective . Medical therapies include oral isotretinoin, which many consider to be the treatment of choice; antiseptics; topical, intralesional, and systemic steroids; topical and oral antibiotics; dapsone; colchicine; oral zinc sulfate; and tumor necrosis factor inhibitors . Surgical therapies, reserved for only severe, recalcitrant cases, include incision and drainage, local or complete excision with split-thickness skin grafting, laser hair removal, photodynamic therapy, and irradiation .…”

“…Dissecting cellulitis of the scalp, also known as perifolliculitis capitis abscedens et suffodiens, is a chronic, relapsing, inflammatory disease that often results in scarring alopecia . Management of this condition includes medical and sometimes surgical treatments, but disease control can be challenging, and therapies are often ineffective or only temporarily effective .…”