Dissecting Cellulitis of the Scalp in a Pediatric Male

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.