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Dissecting cellulitis of the scalp (DCS) is a rare, chronic, disease characterized by inflammatory nodules, abscesses and sinuses that may progress to scarring alopecia. The coexistence of DCS with hidradenitis suppurativa, acne conglobata and pilonidal cyst is mentioned in literature as part of a ‘follicular occlusion tetrad’. Classically affects adult afro-descendent men, although few cases in white men have been reported. This article illustrates a rare presentation of DCS in a 68-year-old woman from Brazil treated with oral isotretinoin.

Rare presentation of dissecting cellulitis in a 68-yearold Brazilian woman