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Dissecting folliculitis (dissecting cellulitis) of the scalp: a 66-patient case series and proposal of classification
- Source :
- JDDG: Journal der Deutschen Dermatologischen Gesellschaft. 16:1219-1226
- Publication Year :
- 2018
- Publisher :
- Wiley, 2018.
-
Abstract
- BACKGROUND AND OBJECTIVES Dissecting folliculitis (DF) or dissecting cellulitis of the scalp is regarded as a rare disease with disfiguring scarring alopecia. This study aimed to analyze the features of DF and to propose a classification to define its severity. PATIENTS AND METHODS A hospital-based retrospective study was conducted. Patients with a histopathological diagnosis or clinical features leading to diagnosis of DF were included and classified into three stages. RESULTS Among the 66 patients recruited (63 men / 3 women, mean age 24.9 years), multiple interconnected alopecic nodules involving the vertex scalp were the main feature. Histopathology showed an extensive inflamed granulation abscess forming a dissection plane in the lower dermis/subcutis in the acute stage. Lymphocytic infiltration was predominant in seven of 21 histology specimens. Overweight and obesity were noted in 29 of 45 patients examined. No association with smoking was found. There was comorbidity with acne conglobata in 15 of 66 patients, two of whom had acne inversa. Longer disease duration and greater number of nodules were associated with higher severity of DF (p
- Subjects :
- 0301 basic medicine
030103 biophysics
medicine.medical_specialty
business.industry
Folliculitis
Dermatology
Scarring alopecia
medicine.disease
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
medicine.anatomical_structure
Dissecting cellulitis of the scalp
Scalp
medicine
Abscess
business
Acne conglobata
Acne
Rare disease
Subjects
Details
- ISSN :
- 16100379
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- JDDG: Journal der Deutschen Dermatologischen Gesellschaft
- Accession number :
- edsair.doi...........0893b8a196e2d60434b54d31bf09e6ee