Treatment of Dissecting Cellulitis of the Scalp and the Use of Marsupialization: A Review

Management of fulminant dissecting cellulitis of the scalp in the pediatric population: Case report and literature review.

A case of fulminant dissecting cellulitis of the scalp in a fifteen-year-old African American male is reported. The presentation was refractory to standard medical treatment such that treatment required radical subgaleal excision of the entire hair-bearing scalp. Reconstruction was in the form of split-thickness skin grafting at the level of the pericranium following several days of vacuum-assi...

Dissecting Cellulitis of the Scalp: A Rare Dermatological Manifestation of Crohn's Disease

Dissecting cellulitis is an inflammatory disease of the skin. We report a case of recurrent dissecting cellulitis in a patient with Crohn's disease. A 31-year-old man with a history of purulent scalp lesions presented with night sweats, weight loss, abdominal pain, and hematochezia. Colonoscopy revealed a diffuse friable mucosa with extensive pseudopolyps. Scalp biopsy demonstrated epidermoid i...

Dissecting cellulitis of the scalp: response to isotretinoin.

We report three patients with dissecting cellulitis of the scalp. Prolonged treatment with oral isotretinoin was highly effective in all three patients. Furthermore, long-term post-treatment follow-up in two of the patients has shown a sustained therapeutic benefit.

Dissecting cellulitis of the scalp.

A 38-year-old Caucasian male presented to our department with 8 months of progressive painful subcutaneous nodules and abscesses in occipital scalp that caused numerous areas of alopecia (Figure 1). He had received treatment with isotretinoin due to acne conglobata two years back. Skinbiopsy specimen revealed a deep, chronic inflammatory infiltrate affecting the inferior portion of hair follicl...

Dissecting Cellulitis of the Scalp: Case Discussion, Unique Considerations, and Treatment Options