Demographic and Histopathological Evaluation in 71 Patients Diagnosed with Dissecting Cellulitis of the Scalp

January 2023 in “ Dermatologic therapy ”

Amir Hooshang Ehsani, Hesal Yolme, Mahsa Akhavan Sabagh, Vahideh Azhari, Nika Kianfar, Zeinab Aryanian

dissecting cellulitis of the scalp DCS lymphoplasmacytic infiltration neutrophilic infiltration irregular fibrosis scarring permanent hair loss acne head acne neck acne scalp cellulitis hair loss

Studysummary This study found that dissecting cellulitis of the scalp was more common in young men, with an association between longer disease duration and increased severity, but no link between age and severity. Our plain-language summary of this paper — not a Tressless recommendation.

This study on 71 patients with dissecting cellulitis of the scalp (DCS) revealed a significant male predominance (65 males, 6 females) with a mean age of 26.1 years. The disease duration averaged 14 months, with severity linked to longer durations. Histopathological findings included lymphoplasmacytic infiltration (90%), neutrophilic infiltration (79%), and irregular fibrosis (66%). The study emphasizes the importance of early diagnosis to prevent scarring and permanent hair loss, noting that DCS often affects young males with a history of acne, particularly head and neck acne.

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