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A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst
We treat infected cysts on a daily basis, but it is difficult to diagnose similar lesions produced by inflammatory conditions that are not primarily caused by bacteria. Dissecting cellulitis of the scalp (DCS) is a chronic inflammatory disease that results in disfiguring, painful, and purulent lesio...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Lippincott Williams & Wilkins
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376395/ https://www.ncbi.nlm.nih.gov/pubmed/34422509 http://dx.doi.org/10.1097/GOX.0000000000003661 |
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author | Masuda, Yashumitsu Kuwahara, Masamitsu Ando, Junji Miyata, Riyo Harada, Masayuki Takeuchi, Mika Kanagawa, Saori Mashiba, Kumi Yurugi, Satoshi |
author_facet | Masuda, Yashumitsu Kuwahara, Masamitsu Ando, Junji Miyata, Riyo Harada, Masayuki Takeuchi, Mika Kanagawa, Saori Mashiba, Kumi Yurugi, Satoshi |
author_sort | Masuda, Yashumitsu |
collection | PubMed |
description | We treat infected cysts on a daily basis, but it is difficult to diagnose similar lesions produced by inflammatory conditions that are not primarily caused by bacteria. Dissecting cellulitis of the scalp (DCS) is a chronic inflammatory disease that results in disfiguring, painful, and purulent lesions. It often takes a long time to diagnose. The pathophysiology of DCS remains unclear. Various treatments for DCS have been proposed, depending on the severity of the disease. However, none of these treatments are clearly superior to the others. If DCS spreads to the entire occipital region, aggressive surgical treatment may be beneficial in terms of the patient’s quality of life. However, surgical interventions, such as drainage, are not effective at preventing the progression of the disease. Herein, we report the case of a young female patient who developed a cyst in the occipital region. We initially suspected that the lesion was a normal infected trichilemmal cyst. However, DCS was subsequently suspected because the lesion exhibited an unusual course after drainage and debridement. We consider that we made a diagnosis relatively early, but if we had sufficient knowledge about DCS we could have made a diagnosis even earlier by performing debridement sooner. Minocycline was administered for 5 months, which caused the lesion to disappear. After 2 years, no recurrence had been observed. |
format | Online Article Text |
id | pubmed-8376395 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-83763952021-08-20 A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst Masuda, Yashumitsu Kuwahara, Masamitsu Ando, Junji Miyata, Riyo Harada, Masayuki Takeuchi, Mika Kanagawa, Saori Mashiba, Kumi Yurugi, Satoshi Plast Reconstr Surg Glob Open Reconstructive We treat infected cysts on a daily basis, but it is difficult to diagnose similar lesions produced by inflammatory conditions that are not primarily caused by bacteria. Dissecting cellulitis of the scalp (DCS) is a chronic inflammatory disease that results in disfiguring, painful, and purulent lesions. It often takes a long time to diagnose. The pathophysiology of DCS remains unclear. Various treatments for DCS have been proposed, depending on the severity of the disease. However, none of these treatments are clearly superior to the others. If DCS spreads to the entire occipital region, aggressive surgical treatment may be beneficial in terms of the patient’s quality of life. However, surgical interventions, such as drainage, are not effective at preventing the progression of the disease. Herein, we report the case of a young female patient who developed a cyst in the occipital region. We initially suspected that the lesion was a normal infected trichilemmal cyst. However, DCS was subsequently suspected because the lesion exhibited an unusual course after drainage and debridement. We consider that we made a diagnosis relatively early, but if we had sufficient knowledge about DCS we could have made a diagnosis even earlier by performing debridement sooner. Minocycline was administered for 5 months, which caused the lesion to disappear. After 2 years, no recurrence had been observed. Lippincott Williams & Wilkins 2021-07-06 /pmc/articles/PMC8376395/ /pubmed/34422509 http://dx.doi.org/10.1097/GOX.0000000000003661 Text en Copyright © 2021 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Reconstructive Masuda, Yashumitsu Kuwahara, Masamitsu Ando, Junji Miyata, Riyo Harada, Masayuki Takeuchi, Mika Kanagawa, Saori Mashiba, Kumi Yurugi, Satoshi A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst |
title | A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst |
title_full | A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst |
title_fullStr | A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst |
title_full_unstemmed | A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst |
title_short | A Case of Dissecting Cellulitis which Was Initially Suspected to Be a Trichilemmal Cyst |
title_sort | case of dissecting cellulitis which was initially suspected to be a trichilemmal cyst |
topic | Reconstructive |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8376395/ https://www.ncbi.nlm.nih.gov/pubmed/34422509 http://dx.doi.org/10.1097/GOX.0000000000003661 |
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