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Image Number #142 (Dissecting cellulitis)

Diagnosis: Dissecting cellulitis

Description: Edematous scalp with scarring

Morphology: Pustules

Site: Scalp

Sex: M

Age: 28

Type: Clinical

Submitted By: Ian McColl

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Differential Diagnosis
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History:

He presented with a two year history of a swollen boggy scalp with oozing of serous fluid and pus.There was associated hair loss and scarring of his scalp.It was not as tender as one might have expected. Swabs grew staph aureus but fungal cultures were negative. The DOJ reference below explains the condition.

In tufted follicles multiple hairs arise from a single opening.

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Dissecting cellulitis"

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