Dissecting Cellulitis of the Scalp in a Pediatric Male

June 2024 in “ Australasian Journal of Dermatology ”

Meryl Thomas, Valerie Yii, Rodney Sinclair

dissecting cellulitis of the scalp alopecia scalp nodules doxycycline clindamycin topical steroids isotretinoin sublingual minoxidil oral prednisolone antiseptic shampoo inflammatory lesions hair regrowth cicatricial alopecia DCS hair loss Rogaine oral steroids

Studysummary In this case study, a 13-year-old boy with dissecting cellulitis of the scalp showed improvement in inflammatory lesions and hair regrowth after treatment with isotretinoin, sublingual minoxidil, and oral prednisolone, marking the youngest reported male case of this condition. Our plain-language summary of this paper — not a Tressless recommendation.

A 13-year-old boy with alopecia and scalp nodules, unresponsive to doxycycline, clindamycin, and topical steroids, was diagnosed with dissecting cellulitis of the scalp (DCS). Treatment included isotretinoin, sublingual minoxidil, oral prednisolone, and antiseptic shampoo. After 4 weeks, inflammatory lesions flattened, and significant hair regrowth was observed. Further improvement was noted at 10 weeks with no new nodules or pustules. DCS, an inflammatory scalp condition, is rare in adolescents and typically treated with isotretinoin. Minoxidil aids in hair regrowth. This case represents the youngest reported male with DCS. No significant side effects were noted apart from increased hair growth on the upper lip.

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3 / 3 results

research Safety and Efficacy of Minoxidil Treatment in Scarring Alopecia: A Scoping Review

March 2024 in “PubMed”

This study highlights a lack of research on the use of topical and low-dose oral minoxidil for treating scarring alopecia, despite their widespread application in other hair loss conditions.

research Systemic Minoxidil for Hair Disorders in Pediatric Patients: A Safety and Tolerability Review

August 2022 in “International Journal of Dermatology”

In this study, low-dose oral minoxidil and sublingual minoxidil were generally well-tolerated in children with alopecia, with mild hypertrichosis as the most common adverse event.

research Dissecting Folliculitis (Dissecting Cellulitis) of the Scalp: A 66-Patient Case Series and Proposal of Classification

17 citations , August 2018 in “Journal der Deutschen Dermatologischen Gesellschaft”

This study found that dissecting folliculitis is more common than previously thought in Taiwan, with obesity possibly linked to higher severity of this condition, but smoking not associated.