Post-Traumatic Extensive Scalp Ulceration: A Diagnostic and Management Challenge!

Author:

Tyagi Meha1,Grover Chander1,Sharma Sonal2

Affiliation:

1. Department of Dermatology and STD, University College of Medical Sciences and GTB Hospital, New Delhi, India

2. Department of Pathology, University College of Medical Sciences and GTB Hospital, New Delhi, India

Abstract

Dissecting cellulitis of scalp (DCS) is an uncommon inflammatory dermatosis, which can be difficult to diagnose in the absence of concomitant cutaneous markers. We present an interesting case of DCS in a 60-year-old male, with an onset after blunt trauma to head. The progression was fast and diagnosis could be achieved on multiple biopsies only. The response to therapy with a combination of oral isotretinoin and intralesional triamcinolone acetonide injections is highlighted in this difficult to treat dermatoses.

Publisher

Medknow

Subject

Infectious Diseases,Microbiology (medical),Dermatology,Immunology and Allergy

Reference9 articles.

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3. Squamous cell carcinoma arising in dissecting perifolliculitis of the scalp: A case report and review of secondary squamous cell carcinomas;Curry;J Am Acad Dermatol,1981

4. Dissecting cellulitis (DSC) after interferon beta-1a treatment and scalp trauma;Donovan;JAAD Case Rep,2015

5. The importance of histopathologic aspects in the diagnosis of dissecting cellulitis of the scalp;Brănişteanu;Rom J Morphol Embryol,2009

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