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Dissecting Cellulitis of the Scalp

What is Dissecting Cellulitis of the Scalp?

Dissecting cellulitis of the scalp (DCS), also known as perifolliculitis capitis abscedens et suffodiens, is a severe inflammatory condition of the scalp characterized by painful, deep nodules and abscesses that can interconnect and drain through sinus tracts. These lesions often result in scarring and permanent hair loss. The exact cause is unknown, but it is considered a chronic inflammatory condition with similarities to hidradenitis suppurativa.

Who is at risk?

Dissecting cellulitis of the scalp is more likely to occur in young adult black men. Anabolic steroid use is a significant risk factor.

What are the signs and symptoms?

Dissecting cellulitis of the scalp presents as painful, deep nodules and abscesses that can interconnect and drain through sinus tracts. It can result in scarring and permanent hair loss.

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