Dissecting cellulitis of the scalp: Difference between revisions

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{{SI}}
{{Infobox medical condition
| name            = Dissecting cellulitis of the scalp
| image          = [[File:Dissecting_cellulitis_of_the_scalp_-_perifolliculitis_capitis_abscedens_et_suffodiens_-_Hoffman_disease_-_40yo_male_of_African_descent.jpg]]
| caption        = Dissecting cellulitis of the scalp in a 40-year-old male of African descent
| synonyms        = Perifolliculitis capitis abscedens et suffodiens, Hoffman disease
| specialty      = [[Dermatology]]
| symptoms        = Painful nodules, abscesses, scarring alopecia
| complications  = [[Scarring]], [[alopecia]], secondary [[infection]]
| onset          = Typically in young adulthood
| duration        = Chronic
| causes          = Unknown, possibly related to [[follicular occlusion]]
| risks          = Male gender, African descent
| diagnosis      = Clinical examination, [[skin biopsy]]
| differential    = [[Hidradenitis suppurativa]], [[acne conglobata]], [[folliculitis]]
| treatment      = [[Antibiotics]], [[corticosteroids]], [[isotretinoin]], [[surgery]]
| prognosis      = Variable, often chronic and relapsing
| frequency      = Rare
}}
'''Dissecting cellulitis of the scalp''' (also known as '''Perifolliculitis capitis abscedens et suffodiens''', '''Hoffmann disease''', and '''Perifolliculitis capitis abscedens et suffodiens, Hoffman''') is a rare, severe and chronic inflammatory condition of the scalp. It is characterized by painful, recurrent, suppurative and scarring inflammation of the hair follicles, often resulting in cicatricial alopecia.
'''Dissecting cellulitis of the scalp''' (also known as '''Perifolliculitis capitis abscedens et suffodiens''', '''Hoffmann disease''', and '''Perifolliculitis capitis abscedens et suffodiens, Hoffman''') is a rare, severe and chronic inflammatory condition of the scalp. It is characterized by painful, recurrent, suppurative and scarring inflammation of the hair follicles, often resulting in cicatricial alopecia.
== Symptoms ==
== Symptoms ==
The main symptoms of dissecting cellulitis of the scalp include:
The main symptoms of dissecting cellulitis of the scalp include:
* Painful nodules on the scalp
* Painful nodules on the scalp
* Pus-filled abscesses
* Pus-filled abscesses
* Scarring and hair loss
* Scarring and hair loss
== Causes ==
== Causes ==
The exact cause of dissecting cellulitis of the scalp is unknown. However, it is believed to be related to the blockage and subsequent rupture of hair follicles, which leads to an inflammatory response.
The exact cause of dissecting cellulitis of the scalp is unknown. However, it is believed to be related to the blockage and subsequent rupture of hair follicles, which leads to an inflammatory response.
== Diagnosis ==
== Diagnosis ==
Diagnosis of dissecting cellulitis of the scalp is primarily based on the clinical presentation. A skin biopsy may be performed to confirm the diagnosis and rule out other conditions.
Diagnosis of dissecting cellulitis of the scalp is primarily based on the clinical presentation. A skin biopsy may be performed to confirm the diagnosis and rule out other conditions.
== Treatment ==
== Treatment ==
Treatment options for dissecting cellulitis of the scalp include:
Treatment options for dissecting cellulitis of the scalp include:
* Antibiotics
* Antibiotics
* Corticosteroids
* Corticosteroids
* Isotretinoin
* Isotretinoin
* Surgical intervention
* Surgical intervention
== Prognosis ==
== Prognosis ==
The prognosis for dissecting cellulitis of the scalp is variable. Some individuals may experience a complete resolution of symptoms with treatment, while others may have a chronic and relapsing course.
The prognosis for dissecting cellulitis of the scalp is variable. Some individuals may experience a complete resolution of symptoms with treatment, while others may have a chronic and relapsing course.
== See also ==
== See also ==
* [[Folliculitis]]
* [[Folliculitis]]
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* [[Scalp conditions]]
* [[Scalp conditions]]
* [[Dermatology]]
* [[Dermatology]]
== References ==
== References ==
<references />
<references />
[[Category:Skin conditions]]
[[Category:Skin conditions]]
[[Category:Dermatology]]
[[Category:Dermatology]]

Latest revision as of 18:28, 5 April 2025

Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC

Dissecting cellulitis of the scalp
Synonyms Perifolliculitis capitis abscedens et suffodiens, Hoffman disease
Pronounce N/A
Specialty Dermatology
Symptoms Painful nodules, abscesses, scarring alopecia
Complications Scarring, alopecia, secondary infection
Onset Typically in young adulthood
Duration Chronic
Types N/A
Causes Unknown, possibly related to follicular occlusion
Risks Male gender, African descent
Diagnosis Clinical examination, skin biopsy
Differential diagnosis Hidradenitis suppurativa, acne conglobata, folliculitis
Prevention N/A
Treatment Antibiotics, corticosteroids, isotretinoin, surgery
Medication N/A
Prognosis Variable, often chronic and relapsing
Frequency Rare
Deaths N/A


Dissecting cellulitis of the scalp (also known as Perifolliculitis capitis abscedens et suffodiens, Hoffmann disease, and Perifolliculitis capitis abscedens et suffodiens, Hoffman) is a rare, severe and chronic inflammatory condition of the scalp. It is characterized by painful, recurrent, suppurative and scarring inflammation of the hair follicles, often resulting in cicatricial alopecia.

Symptoms[edit]

The main symptoms of dissecting cellulitis of the scalp include:

  • Painful nodules on the scalp
  • Pus-filled abscesses
  • Scarring and hair loss

Causes[edit]

The exact cause of dissecting cellulitis of the scalp is unknown. However, it is believed to be related to the blockage and subsequent rupture of hair follicles, which leads to an inflammatory response.

Diagnosis[edit]

Diagnosis of dissecting cellulitis of the scalp is primarily based on the clinical presentation. A skin biopsy may be performed to confirm the diagnosis and rule out other conditions.

Treatment[edit]

Treatment options for dissecting cellulitis of the scalp include:

  • Antibiotics
  • Corticosteroids
  • Isotretinoin
  • Surgical intervention

Prognosis[edit]

The prognosis for dissecting cellulitis of the scalp is variable. Some individuals may experience a complete resolution of symptoms with treatment, while others may have a chronic and relapsing course.

See also[edit]

References[edit]

<references />

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