TLDR Radiation therapy is an effective treatment for severe scalp cellulitis with mild side effects and no long-term complications.
In a study from 2005, four patients with intractable dissecting cellulitis of the scalp were treated with modern external beam radiation therapy, using electrons or a combination of electrons and photons. The initial radiation doses ranged from 15-21 Gy, with fraction sizes of 2.5 or 3 Gy, and were increased up to a maximum of 35 Gy if necessary for full epilation. All patients experienced rapid pain relief, regression of nodules, decreased discharge, and subjective improvements in appearance. No long-term toxicity was observed, although all patients had some degree of alopecia before treatment. The study concluded that modern radiation therapy techniques are a viable treatment option for severe or refractory cases of dissecting cellulitis of the scalp, with mild and tolerable acute effects and no observed long-term complications.
51 citations
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October 2002 in “Archives of dermatology” The document does not conclude the effectiveness of the 800-nm pulsed-diode laser for treating scalp cellulitis.
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September 2023 in “Dermatology and therapy” More research is needed to find the best treatment for dissecting cellulitis of the scalp.
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May 2014 in “American Journal of Clinical Dermatology” The conclusion is that better understanding and more research are needed to effectively manage follicular and scarring disorders in skin of color, with an emphasis on patient education and cultural awareness.
18 citations
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October 2012 in “Dermatologic Clinics” Early diagnosis and aggressive treatment are key for managing rare scalp disorders that cause permanent hair loss.
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April 2010 in “Expert Review of Dermatology” The document concludes that early diagnosis and treatment are crucial for managing rare hair loss disorders and that more research is needed to improve treatment strategies.
78 citations
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January 2013 in “Dermatology Online Journal” Hidradenitis suppurativa is linked to various diseases like obesity, depression, arthritis, and Crohn's disease, but often occurs alone.