Cutting Out the Tracts: Staged Excisions for Dissecting Cellulitis of the Scalp
Dissecting cellulitis, or perifolliculitis capitis abscedens et suffodiens, of the scalp is an uncommon, well-recognized entity of folliculitis. It is a component of the follicular occlusion triad along with hidradenitis suppurativa and acne conglobata, characterized by relapsing, suppurative, draining nodules ultimately leading to scarring alopecia. Continuous inflammation leads to formation of sinus tracts, which serve as a nidus for further inflammation and bacterial overgrowth. Patient's quality of life can be significantly impacted.