Perifolliculitis capitis abscedens et suffodiens : a case report

Authors

  • Kumpol Aiempanakit DEPARTMENT OF DERMATOLOGY, FACULTY OF MEDICINE, SIRIRAJ HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND
  • Poonkiat Suchonwanit DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, RAMATHIBODI HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND
  • Rattapon Thuangtong DEPARTMENT OF DERMATOLOGY, FACULTY OF MEDICINE, SIRIRAJ HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND

Keywords:

Perifolliculitis capitis abscedens et suffodiens, dissecting folliculitis, dissecting cellulitis, Hoffman’s disease

Abstract

Perifolliculitis capitis abscedens et suffodiens (PCAS) is one of primary cicatricial alopecia. The common manifestation is perifollicular lesion with sinus tracts formation. Follicular hyperkeratosis with obstruction and bacterial infection play a role in the pathogenesis. The treatment options consist of medical and surgical treatments. Nevertheless, PCAS is usually difficult and often recalcitrant. In this report, we describe the patient with PCAS. A 28 year-old male with recurrent multiple painful erythematous papules, pustules, nodules and abscesses with hair loss on the scalp. Histopathological finding is compatible with Perifolliculitis capitis abscedens et suffodiens.

References

Karpouzis A, Giatromanolaki A, Sivridis E, Kouskoukis C. Perifolliculitis capitis abscedens et suffodiens successfully controlled with topical isotretinoin. Eur J Dermatol 2003;13:192–5.

Branisteaun DE, Molodoi A, Ciobanu D, et al. The importance of histopathological aspects in the diagnosis of dissecting cellulitis of the scalp. Rom J Morphol Embryol 2009; 50: 719-24.

Ljubojevic S, Pasic A, Lipozencic J, Skerlev M. Perifolliculitis capitis abscedens et suffodiens. J Eur Acad Dermatol Venereol 2005; 19: 719–21.

Curry SS, Gaither DH, King LE Jr. Squamous cell carcinoma arising in dissecting perifolliculitis of the scalp: a case report and review of secondary squamous cell carcinomas. J Am Acad Dermatol 1981; 4: 673-8.

Salim A, David J, Holder J. Dissecting cellulitis of the scalp with associated spondylarthropathy: case report and review. J Eur Acad Dermatol Venereol 2003; 17: 689-91.

Brandt HR, Malheiros AP, Teixeira MG, Machado MC. Perifolliculitis capitis abscedens et suffodiens successfully controlled with infliximab. Br J Dermatol 2008; 159: 506-7.

El Sayed F, Ammoury A, Dhaybi R, Aftimos G, Bazex J. Perifolliculitis capitis abscedens et suffodiens: an unusual case triggered by trauma. J Eur Acad Dermatol Venereol 2006; 20: 1143-4.

Navarini AA, Trueb RM. 3 cases of dissecting cellulitis of the scalp treated with adalimumab: control of inflammation within residual structural disease. Arch Dermatol 2010; 146:517-520.

Sperling LC. Scarring alopecia and the dermatopathologist. J Cutan Pathol 2001; 28: 333-42.

Stefanato CM. Histopathology of alopecia: a clinicopathological approach to diagnosis. Histopathology 2010; 56: 24-38.

Kransner BD, Hamzavi FH, Murakawa GJ, Hamzavi IH. Dissecting cellulitis treated with the long-pulsed Nd:YAG laser. Dermatol Surg 2006; 32: 1039-44.

Chinnaiyan P, Tena LB, Brenner MJ, Welsh JS. Modern external beam radiation therapy for refractory dissecting cellulitis of the scalp. Br J Dermatol 2005; 152: 777-9.

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Published

2026-06-09

How to Cite

Aiempanakit, K., Suchonwanit, P., & Thuangtong, R. (2026). Perifolliculitis capitis abscedens et suffodiens : a case report. Thai Journal of Dermatology, 29(2), 121–124. retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/282866

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Section

Case Report