Treatment Strategy for Refractory Dissecting Cellulitis of the Scalp Using Bimekizumab, Isotretinoin, and Oral Antibiotics

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Authors: William C. Lau, Benjamin Gerstein, Mark G. Lebwohl
Cited by: 1

Abstract

Dissecting cellulitis of the scalp (DCS) is a chronic inflammatory disorder of the scalp that manifests as inflamed nodules and abscesses, with subsequent patchy, scarring hair loss. While its exact pathogenesis remains unclear, follicular occlusion, inflammation, and sinus tract formation are thought to be key contributors. We present two patients, a 26-year-old male and a 33-year-old male, with refractory DCS and concomitant hidradenitis suppurativa and acne conglobata who were successfully treated with a combination therapy regimen of bimekizumab, isotretinoin, and oral antibiotics. Dissecting Cellulitis of the Scalp, Hidradenitis Suppurativa, Follicular Occlusion Triad, Bimekizumab, Scarring Alopecia

Fields of Study & Subjects

Hidradenitis Suppurativa and Treatments Acne and Rosacea Treatments and Effects Dermatologic Treatments and Research

Publication details

Journal / source
Journal of Drugs in Dermatology
Publisher
SanovaWorks
Volume
25
Issue
3
Pages
275–276
Publication date
1 February 2026
Language
EN