Dissecting Cellulitis of Scalp (Perifolliculitis Capitis Abscedens Et Suffodiens)

  • Part of the follicular occlusion tetrad; typically occurring in young adult black men
  • Presents with multiple, firm boggy nodules and plaques with purulent material
  • Histology: dense perifollicular inflammation affecting lower half of dermis with resulting dense fibrosis
  • Treatment: intralesional corticosteroid, oral antibiotic, surgery or oral isotretinoin (not always effective)