Surgical Management And Reconstruction Of Hoffman’s Disease Dissecting Cellulitis Of The Scalp
People who find themselves vulnerable to cellulitis, for instance people with diabetes or with poor circulation, should take care to protect themselves with acceptable footwear, gloves and long pants when gardening or bushwalking, when it is easy to get scratched or bitten.
Marjolin’s ulcers at the location of chronic inflammation (ie, invasive squamous cell carcinoma), which have a very aggressive potential and may metastasize occultly and early, have been reported to arise in acne conglobata and hidradenitis suppurativa.
The condition is sometimes known as perifolliculitis capitis abscedens ET suffodiens (which means inflammation of the scalp hair follicles and surrounding skin which disappears and digs deep into the skin).
Once nodules have flattened, any apparent areas of sinus formation must be excised, or ideally marsupialized after enough probe exploration for tracts intraoperatively, and then left to granulate and heal.