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Dissecting Cellulitis in Children and Adolescents: A Comprehensive Review

Mildred Acosta-Sau1, Arturo Lopez Yañez-Blanco1, Flavia Oliveira Xavier de Brito2

  • 1Department of Pediatric Dermatology, Instituto Dermatológico de Jalisco "Dr. José Barba Rubio", Zapopan, Mexico.

Skin Appendage Disorders
|June 29, 2026
PubMed

Insights

Dissecting cellulitis, a rare scalp condition causing permanent hair loss, can affect children. Early diagnosis and treatment are crucial to prevent lasting complications and psychosocial distress.

Area of Science:

  • Dermatology
  • Pediatric Dermatology

Background:

  • Dissecting cellulitis is a chronic scarring alopecia with pustules, nodules, and abscesses.
  • It leads to permanent hair loss and is rarely reported in children.

Purpose of the Study:

  • To enhance understanding of dissecting cellulitis in pediatric patients.
  • To emphasize its role as a differential diagnosis in children for early intervention.

Main Methods:

  • A literature review was performed using PubMed, Google Scholar, and SciELO.
  • Keywords included "dissecting cellulitis," "children," "pediatrics," and "perifolliculitis capitis abscedens et suffodiens" from 1999-2025.

Main Results:

  • Dissecting cellulitis is uncommon in pediatric patients.
  • Clinical presentation includes papules, pustules, nodules, abscesses, and fistulous tracts.
  • Diagnosis relies on clinical findings, trichoscopy, and histopathology.

Conclusions:

  • Recognizing dissecting cellulitis in pediatric patients is vital for timely diagnosis and treatment.
  • Early intervention can prevent irreversible sequelae and significant psychosocial impact.
Abstract

Keywords:
ChildrenDissecting cellulitisHairPerifolliculitis capitis abscedens et suffodiensTrichology

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