A Very Rare Case of Dissecting Cellulitis of the Scalp in an Indonesian Man

Rizky Lendl Prayogo, Lusiana, Sri Linuwih Menaldi, Sondang P. Sirait, Eliza Miranda

2018

Abstract

Dissecting cellulitis of the scalp (DCS), also known as dissecting folliculitis, perifolliculitis capitis abscedens et suffodiens (PCAS), or Hoffman’s disease, is a primary neutrophilic cicatricial alopecia without clear etiology. Along with hidradenitis suppurativa, acne conglobata, and pilonidal cyst, they were recognized as ‘follicular occlusion tetrad’. A 43-year-old Indonesian man presented to our department with four years history of persistent, slightly painful subcutaneous nodules, abscesses, and sinuses that discharged purulent exudate on vertex and occipital scalp. There was also associated patchy alopecia. He had severe acne during his adolescence to early adulthood. Trichoscopic evaluation showed yellowish and whitish area lacking of follicular openings. Histopathological examination showed follicular occlusion, dilatation, and rupture with mixed inflammatory infiltrates, mainly neutrophils. The diagnosis of DCS was confirmed by clinical, trichoscopic, and histopathological examinations. Isotretinoin 20 mg daily was given to normalize the follicular keratinization. Considering its very rare occurrence in an Indonesia man, this case was reported to emphasize the diagnosis of DCS.

Paper Citation

in Harvard Style

Prayogo R., Lusiana., Menaldi S., Sirait S. and Miranda E. (2018). A Very Rare Case of Dissecting Cellulitis of the Scalp in an Indonesian Man.In Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD, ISBN 978-989-758-494-7, pages 398-401. DOI: 10.5220/0008158303980401

in Bibtex Style

@conference{rcd18,
author={Rizky Lendl Prayogo and Lusiana and Sri Linuwih Menaldi and Sondang P. Sirait and Eliza Miranda},
title={A Very Rare Case of Dissecting Cellulitis of the Scalp in an Indonesian Man},
booktitle={Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD,},
year={2018},
pages={398-401},
publisher={SciTePress},
organization={INSTICC},
doi={10.5220/0008158303980401},
isbn={978-989-758-494-7},
}

in EndNote Style

TY - CONF

JO - Proceedings of the 23rd Regional Conference of Dermatology - Volume 1: RCD,
TI - A Very Rare Case of Dissecting Cellulitis of the Scalp in an Indonesian Man
SN - 978-989-758-494-7
AU - Prayogo R.
AU - Lusiana.
AU - Menaldi S.
AU - Sirait S.
AU - Miranda E.
PY - 2018
SP - 398
EP - 401
DO - 10.5220/0008158303980401