Dissecting Cellulitis Presenting After Hair Restoration Surgery

November 2024 in “ Cureus ”

Guillermo Antonio Guerrero-González, Gerardo González‐Martínez, Jair Alejandro Valdez-Zertuche

dissecting cellulitis follicular unit extraction androgenetic alopecia scarring alopecia isotretinoin dutasteride intralesional steroid injections salicylic acid inflammatory acne FUE Accutane Avodart steroid injections salicylic acid shampoo

From the encyclopedia

Dutasteride →

Heavy duty finasteride that comes with higher risks

Salicylic acid →

Studysummary This case report describes a patient who developed dissecting cellulitis of the scalp after follicular unit extraction, showing significant improvement with isotretinoin, dutasteride, and steroids. Our plain-language summary of this paper — not a Tressless recommendation.

This case report highlights a rare instance of dissecting cellulitis (DC) occurring after follicular unit extraction (FUE) in a 34-year-old male with a history of androgenetic alopecia and acne. DC is a chronic inflammatory condition that can lead to scarring alopecia if untreated. The patient was successfully treated with isotretinoin, dutasteride, intralesional steroid injections, and salicylic acid-based shampoo, showing significant improvement after four months. The report emphasizes the importance of early diagnosis and personalized treatment to prevent irreversible damage, particularly in patients with severe inflammatory acne considering FUE. The findings suggest that dutasteride may be effective in managing DC and reducing the risk of this complication post-hair transplantation.

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7 / 7 results

research Dutasteride for the Treatment of Androgenetic Alopecia: An Updated Review

September 2024 in “Dermatology”

This abstract discusses finasteride and dutasteride's mechanisms in treating androgenetic alopecia and notes FDA approval for finasteride, but reports no new clinical results.

research Comparison of Oral Minoxidil, Finasteride, and Dutasteride for Treating Androgenetic Alopecia

1 citations , August 2022 in “Journal of Dermatological Treatment”

In this study, the authors reported that oral dutasteride at 0.5 mg/day showed a probable greater efficacy in treating male androgenetic alopecia compared to finasteride and minoxidil, but it may cause sexual dysfunction and neuropsychiatric side effects.

research Analyzing the Efficacy of Isotretinoin in Treating Dissecting Cellulitis: A Literature Review and Meta-Analysis

12 citations , January 2021 in “Drugs in R&D”

This review and meta-analysis found that isotretinoin is an effective treatment for dissecting cellulitis of the scalp, with a high estimated efficacy rate of 90%, yet 24% of patients experienced recurrence after successful treatment.

research Dual Effects of 5α-Reductase Inhibitor Dutasteride on Androgenetic Alopecia and Acne Vulgaris

January 2019 in “Dermatologica Sinica”

This study observed that dutasteride treatment led to improvement in acne vulgaris among two male patients with androgenetic alopecia, suggesting its potential as a treatment option for concurrent conditions.

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.

research Clinical Outcome and Safety Profile of Patients Undergoing Hair Transplantation Surgery by Follicular Unit Extraction

1 citations , February 2018 in “Journal of Nepal Medical Association”

This study followed 152 patients undergoing hair transplant surgery, reporting that 86.18% experienced excellent results after one year, despite temporary complications like forehead swelling in 69.74% of participants, suggesting the procedure's relative safety and effectiveness for androgenetic alopecia.

Dissecting Cellulitis (Perifolliculitis Capitis Abscedens et Suffodiens): A Comprehensive Review Focusing on New Treatments and Findings of the Last Decade with Commentary Comparing the Therapies and Causes of Dissecting Cellulitis to Hidradenitis Suppurativa

research Dissecting Cellulitis (Perifolliculitis Capitis Abscedens et Suffodiens): A Comprehensive Review Focusing on New Treatments and Findings of the Last Decade with Commentary Comparing the Therapies and Causes of Dissecting Cellulitis to Hidradenitis Suppurativa

48 citations , January 2014 in “Dermatology Online Journal”

This review examines various treatments for dissecting cellulitis, noting isotretinoin may offer the best chance for remission despite limited long-term data and calls for more clinical studies.