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Sarasota Dermatology Blog

Scalp Dissecting Cellulitis

Posted on 25. May, 2011 by in Gray Hair, Skin Conditions, Various

Scalp Dissecting Cellulitis

What is Dissecting Cellulitis?
Dissecting Cellulitis, also referred to as perifolliculitis capitis abscedens et suffodiens (PCAS) or Hoffman Disease, is a progressive chronic suppurative condition.

Who is affected by Dissecting Cellulitis?
Dissecting Cellulitis of the scalp usually affects male African Americans between the ages of 20 and 40 years old. Although less common, this disease has been seen in other races and sometimes in women.

What area can be affected by Dissecting Cellulitis?
This is a painful disease that commonly affects the crown of the head. Unfortunately it is a chronic disease and relapse is common. The perifollicular area of the follicle is involved.  This disease may occur with other follicular diseases such as hidradenitis suppurativa, acne conglobata and or pilondial cysts. The causative agent is felt to be Staphylococcus aureus or staphylococcus albus. Erythematous papules transition into pustules then coalesce into flesh color or yellow moist plaques. The scalp may leak seropurulent fluid. Loss of hair is common in affected areas and this hair loss may be permanent. 

What are the treatments available for Dissecting Cellulitis?
If you think you suffer from this or other scalp diseases it is important to schedule a consultation with your dermatologist. Dr. Abrams, D.O. and Sheryl Wilson, ARNP-C. are highly knowledgeable of this condition and will be able to provide you with a treatment that is appropriated to your needs. A simple biopsy done within the office will confirm diagnosis. Medicated shampoos, antibiotics and topical treatments can be prescribed to treat this condition.

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12 Responses to “Scalp Dissecting Cellulitis”

  1. Sedrick Walker

    03. Aug, 2011

    Hi my name is sedrick walker and i have been dealing with dissecting cellulitis for about 7 years. I see a dermatologist here in cleveland oh but they can not seem to help do you have any answers. Please help me out

  2. Ali Chaudhry

    25. Aug, 2011

    I am a five year sufferer of dissecting cellulitis of scalp.Visit my blog for the whole story at

  3. Christopher Claudio

    14. Sep, 2011

    First I wanted to thank you for this blog. Second, I was wondering if you would allow me a question. I am from McAllen, Texas and I have been to numerous doctors and dermatologist and no one seems to have any experience with dissecting cellulitis. I am desperate to find someone who can take a more active part in my treatment. How do I find someone in my area who can help me. I would appreciate any help that you could offer. Thank you



  4. Ry

    30. Oct, 2011

    Hi im from san antonio texas and ive seen several doctors for this condition,ive taken accutane when it was at its early stage i took it for its full course and it sent it into remission for about 3 or four months so it doesnt look like i have it really looks more like folliculitis right now but once i stop my antibiotics it flares up..i still have a good set of hair.. i didnt like the side effects but kept it from getting to its really bad stage currently im taking minocycline and im tired of taking them to much dizziness and stomache problems but it keeps its partially in check ive also used luxiq and helped a little bit for awhile but stop working after awhile also tried topical clindamycin…what would be your best suggestions to recomeend to my dermatologist to send this into remission or maintain it better and would an infectious disease specialist know much about this??

  5. Dermatology online

    21. Dec, 2011

    Scalp Dissecting Cellulitis is serious problem. Helpful article thx

  6. Bill Peggs

    10. Jan, 2012

    How are you doing? My name is BIll Peggs, I am a 23 year old male. I have been suffering from dissecting cellulitis since 2007. I have been prescribed bactrium and have been using it since 2008 it keeps the condition under control for the most part. Recently the condition has been acting up where I have had a few nodules on the side of my scalp and they are not going away they bleed occasionally and hurt. They have been there for about 3 months. Please help! My dermatologist keeps trying to push acutaine and thinks it will help but I do not want to go on that. Please if you can give me any treatment processes I may use or any other option at all. Thank you for your time

  7. Hubert Scott

    30. Jan, 2012

    I have Dissecting Cellulitus, is there teatments other than surgury? My doctor wants to perform surgury but I would like this to be a last resort. I am currently taking Tetracycline. What medicated shampoo(s), or antibiotics , or topical treatings are you referring to?

  8. M.W.

    27. Apr, 2012

    Tetracycline won’t work. There is a trio of medicines that work really well in combination: Solodyn(Pill), Clobex (Shampoo), and something Lux (it’s a topical foam). I was using them for a few years until my medical insurance ran out. Kept it in check and put it into remission for a long time after I stopped using it.

    To Sedric: More than likely he is still practicing in Columbus, OH, but Dr. Earl Walker is who diagnosed me and prescribed me the medicine. It was the FIRST time at that point in 2006/07 that someone was actually able to tell me exactly what I had and give me the proper treatment. If you can make it down to see him, DO IT. Or if nothing else, go to your doctor and ask to be prescribed the meds I listed above.

  9. Judy

    17. Jul, 2012

    Hello, do you have any parents who have a child dealing with this condition? If so can you please send them my e-mail. Our organization connects one parent to another parent who have a child with a disability or special need. Feel free to check out our website so you know this is a legitimate request. Thank you for your time.

  10. Mayvette

    16. Feb, 2013

    My fiance is suffering from a dissecting cellulitus also. He has been working with some more people with his condition trying to form an organization and charity to help others with the condition who can’t afford to seek medical attention. Please read up more on this condition and like his page at Thanks!!!!!

  11. Mirna

    06. Mar, 2013

    I’ve been taking Doxycycline and it’s worked miracles for me. I’ve been dealing with this for 20 years and have seen countless dermatologists and have tried lotions, shampoos, etc. you name it. This so far has been working for me. I take one pill, every day, one hour before bed with a glass of water for the first week. Then I after the first week, I take one pill every other day, and then every two days on the second week. If I stop taking the pill for more then four days at a time, then I’ll break out again, but this is by far the best thing that’s helped with my condition; our condition.

  12. hubo

    31. Mar, 2016

    I use Minocycline. It is the only thing strong enough.

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