The cause of the disease is unknown, but it is similar in many features to hidradenitis suppurativa and acne conglobata. It most often affects black adult men but may rarely occur in whiteskinned individuals, females, and children. Perifolliculitis capitis abscedens et suffodiens or dissecting cellulitis of the scalp is a rare, chronic destructive folliculitis of the scalp, characterized by painful nodules, purulent drainage. In this article, we introduce several special types of folliculitis which should be differentiated from acne, including superficial pustular folliculitisspf, folliculitis barbae and sycosis barbae, perifolliculitis capitis abscedens et suffodiens, folliculitis keloidalis nuchae, actinic folliculitis, eosinophilic pustular folliculitis epf. Sonography in pathologies of scalp and hair the british. Perifolliculitis capitis abscedens et suffodiens pcas or dissecting cellulitis dc is clinically characterized by severe destructive folliculitis leading to scarring alopecia, often associated with fluctuated nodules and abscesses, sinus tracts, fistula and recurrent gramnegative infections 1. Perifolliculitis capitis abscedens et suffodiens request pdf. Clinically it has to be differentiated from other causes of folliculitis affecting the scalp.
Pdf perifolliculitis capitis abscedens et suffodiens j. The entity is part of the follicular occlusion triad, which additionally consists of hidradenitis suppurativa and acne conglobata. Skin diseases summary summary listen the following summary is from orphanet, a european, provides resources to help you learn about medical research and ways to get involved. Dissecting cellulitis of the scalp genetic and rare. They can follow a specific pattern, be diffuse or circumscript. Isotretinoin in perifolliculitis capitis abscedens et suffodiens. The disease is characterized by perifollicular pustules, suppurative nodules and fluctuating abscesses, as well as. Cicatricial alopecia is an enigmatic group of hair disorders linked by the potential permanent loss of scalp hair follicles in involved areas. Should hidradenitis suppurativaacne inversa best be.
This condition may be seen in association with acne vulgaris or a folliculitis tetrad syndrome of acne conglobata, hidradenitis suppurativa, dissecting cellulitis, and pilonidal cysts. It occurs most frequently on the vertex and occiput and is. Alopecia is the term used to describe hairless areas of the scalp. A 24yearold man with a oneyear history of perifolliculitis capitis abscedens et suffodiens hoffman was treated with oral zinc sulfate. Signs and symptoms of this condition include lardge nodules and cysts as well as smaller follicular papules. It manifests itself initially with hemispherical, lividly inflamed, hairless lesions on the hairbearing scalp that are soft and fluctuant to palpation. Perifolliculitis capitis abscedens et suffodiens, ethiopia. Summary perifolliculitis capitis abscedens et suffodiens or dissecting cellulitis of the scalp is a rare, chronic destructive folliculitis of the scalp, characterized by painful nodules, purulent drainage, sinus tracts, keloid formation and cicatricial alopecia. Dissecting cellulitis of the scalp, also known as perifolliculitis capitis abscedens et suffodiens hoffmanns disease, is an extremely rare disease characterized by the appearance of tender, suppurative nodules with interconnecting draining sinuses and subsequent scarring. Dissecting cellulitis of the scalp is a rare and severe form of scalp folliculitis. Progress in our understanding and treatment of these disorders has been stymied by the lack of clear diagnostic criteria for the current terms used to describe the various hair loss entities.
Perifolliculitis capitis abscedens et suffodiens is a rare and severe form of scalp folliculitis sometimes associated with acne conglobata, hidradenitis suppurativa and spinal arthritis spondyloarthropathy. Search genetic and rare diseases information center. Spitzer first described the disease in 1903, and hoffman named it descriptively in 1907 suffodiens is from the latin. Since all of these conditions evolve as the hair is destroyed. Report of a patient with acne conglobata and perifolliculitis capitis abscedens et suffodiens. Isotretinoin in perifolliculitis capitis abscedens et. Perifolliculitis capitis abscedens et suffodiens pcas. Dissecting cellulitis of the scalp treated with rifampicin. Folliculitis et perifolliculitis capitis abscedens et suffodiens. Kierland reported the concurrence of acne conglobata ac, hs and perifolliculitis capitis abscedens et suffodiens in 1951 s4, which was later coined as follicular occlusion triad by. Resident, department of dermatology and dermatologic surgery, faculty of health, universidad del valle, cali, colombia. Dissecting cellulitis usually starts on the scalp vertex or occiput as a folliculitis. We discuss the epidemiology, clinicals, pathogenesis, and therapy of lichen planopilaris with its variants, discoid lupus erythematosus, folliculitis decalvans, dissecting folliculitis, acne keloidalis nuchae, pseudofolliculitis barbae, tinea capitis, tinea barbae. Perifolliculitis capitis abscedens et suffodiens is also known as dissecting cellulitis or folliculitis, or perifolliculitis capitis.
Spitzer first described the disease in 1903, and hoffman named it descriptively in 1907 suffodiens is from the latin suffodio, meaning to dig under. It is sometimes associated with acne conglobata, hidradenitis suppurativa and spinal arthritis. Editor pcas that predominantly occurs in african american perifolliculitis capitis abscedens et suffodiens pcas or men is rarely reported in white females. New approach in combined therapy of perifolliculitis. Dissecting cellulitis perifolliculitis capitis abscedens. Dissecting folliculitis df is also known as perifolliculitis capitis abscedens et suffodiens hoffman,dissecting perifolliculitis, and perifolliculitis capitis wu et al, 2008. Dissecting cellulitis does have an unknown etiology, however there are three implicated facts. Yag laser treatment of recalcitrant folliculitis decalvans. Perifolliculitis capitis abscedens et suffodiens also known as perifolliculitis capitis abscedens et suffodiens of hoffman, dissecting folliculitis, and dissecting cellulitis of the scalp.
Perifolliculitis capitis abscedens et suffodiens in a 7. Perifoliculitis capitis abscedens et suffodiens, dissecting folliculitis, dissecting cellulitis, or hoffman disease is a rare,\ud inflammatory and chronic condition, which affects the scalp of young black men, mainly. Perifolliculitis capitis abscedens et suffodiens is the least common of the three conditions included in the follicular occlusion triad. Perifolliculitis capitis abscedens et suffodiens pcas, a rare and severe progressive dissecting cellulitis or folliculitis of the scalp, presents with purulentdraining painful nodules, burrowing connecting tracts and cicatricial alopecia. Folliculitis decalvans l e t t e r t o t h e e d i t o r folliculitis decalvans of the scalp. Perifolliculitis capitis abscedens et suffodiens pcas is a rare scalp disease seen mostly in young males of afroamerican descent.
Update on cicatricial alopecia journal of investigative. The deepseated folliculitis in the barba areas is called sycosis vulgaris. The rash may appear as pimples that come to white tips on the face, chest, back, arms, legs, buttocks, or head. Dissecting cellulitis of the scalp also known as perifolliculitis capitis abscedens et suffodiens is an uncommon scalp condition that mostly affects black men 2040 years of age, but may also affect other races andor women. Folliculitis is the infection and inflammation of one or more hair follicles. Painful lumps filled with pus develop, often leading to scarring and patchy areas of permanent hair loss. The term dissecting cellulitis, initially also described as perifolliculitis capitis abscedens et suffodiens, is a misnomer because the condition represents suppurative folliculitis and not cellulitis. Wollina folliculitis decalvans of the scalp is a recurrent, purulent follicular inflammation leading to scarring alopecia. Pdf perifolliculitis capitis abscedens et suffodiens.
Perifolliculitis capitis abscedens et suffodiens hoffman. Dc also occurs in other races and women more rarely. Perifolliculitis capitis abscedens et suffodiens is a chronic inflammatory disease of the scalp characterized by the presence of large and small nodules which suppurate and intercommunicate by sinus formation. Perifolliculitis abscedens et suffodiens u pacienta. Perifolliculitis capitis abscedens et suffodiens pcas is a therapeutically challenging suppurative scalp disease of unknown etiology. Perifolliculitis capitis abscedens et suffodiens pcas or dissecting cellulitis dc is clinically characterized by severe destructive folliculitis leading to scarring alopecia, often associated with fluctuated nodules and abscesses, sinus tracts, fistula and recurrent gramnegative infections 1, 2. Folliculitis et perifolliculitis capitis abscedens et. The bloody exudate that can be aspirated from them is generally microbiologically.
Complete healing was seen after three months and the treatment was continued for a total of six months. The disease is characterized by perifollicular pustules, suppurative nodules and fluctuating abscesses, as well as by intercommunicating sinus tracts on the scalp. Perifolliculitis capitis abscedens et suffodiens or dissecting cellulitis of the scalp is a rare, chronic destructive folliculitis of the scalp, characterized by painful nodules, purulent drainage, sinus tracts, keloid formation and cicatricial alopecia. Folliculitis et perifolliculitis capitis abscedens et suffodiens is a rare disease of unknown etiology. Pdf dissecting cellulitis perifolliculitis capitis. It expands into patches of perifollicular pustules, nodules. Perifolliculitis capitis abscedens et suffodiens or dissecting folliculitis of the scalp or dissecting cellulitis of the scalp or dissecting perifolliculitis of the scalp is a rare entity and constitutes the equivalent over the scalp, of hidradenitis suppurativa and acne conglobata. It is one of the causes of scarring alopecia in adult males. Certain perifolliculocentric inflammatory disorders, such as pseudofolliculitis barbae, acne keloidalis nuchae, and perifolliculitis capitis abscedens et suffodiens, although not true folliculitides, can often mimic folliculitis and are seen more often in african americans. Yag laser treatment of recalcitrant folliculitis decalvans, dermatologic surgery on deepdyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Dissecting cellulitis of the scalp, also known as dissecting scalp cellulitis, dissecting folliculitis of the scalp, perifolliculitis capitis abscedens et suffodiens of hoffman, perifolliculitis abscedens et suffodiens, or folliculitis abscedens et suffodiens, is an inflammatory condition of the scalp that can lead to scarring alopecia, which begins with deep inflammatory nodules, primarily.
Given a great number of separate populations of hair follicles stem cells, their ability to induce angi ogenesis and the growth of nerve fibers, an. Perifoliculitis capitis abscedens et suffodiens, dissecting folliculitis, dissecting cellulitis, or hoffman disease is a rare, inflammatory and chronic condition, which affects the scalp of young black men, mainly characterized by the appearance of nodules and abscesses that drain purulent material with fistulas and pathways, leading ultimately to scarring alopecia. Dissecting cellulitis of the scalp skin of color society. Perifolliculitis capitis abscedens et suffodiens in a. Dissecting cellulitis dc also referred to as to as perifolliculitis capitis abscedens et suffodiens hoffman manifests with perifollicular pustules, nodules, abscesses and sinuses that evolve into scarring alopecia. The diagnosis and treatment of hair and scalp diseases. Response to triple therapy with isotretinoin, clindamycin, and prednisolone a. It is an inflammatory condition of the scalp that can lead to scarring alopecia, which begins with deep inflammatory nodules, primarily over occiput, that progresses to coalescing regions of boggy scalp. Scalp perifolliculitis capitis abscedens et suffodiens. A hair follicle is infected by staphylococcus aureusor staphy lococcus epidermidis. Perifolliculitis capitis abscedens et suffodiens pcas, or dissecting cellulitis of the scalp is a therapeutically challenging suppurative scalp disease of unknown etiology.
Pdf perifolliculitis capitis abscedens et suffodiens in. Clusters of peri dissecting cellulitis is a rare, chronic, relapsing disease of follicular pustules, tender suppurative nodules. In the scalp, the folliculitis can extend to form a dissecting cellulitis. A minor trauma, obstruction and scratch around a hair follicle, or topical application of steroids may induce the infection. It is a suppurative process that involves the scalp, eventually resulting in extensive. Quinquaud folliculitis decalvans title other names. The condition may occur anywhere on the skin except the palms of the hands and soles of the feet. Perifolliculitis abscedens et suffodiens in patient succesfully treated with izotretinoid perifolliculitis abscedens et suffodiens is a rare chronic dermatosis of unknown origin that affects hairy scalp and neck. The condition is also known as acne necrotica miliaris or proprionibacterium folliculitis. The term hidradenitis destruens suppurativa was first proposed by pollitzer in 1894 s3.
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