Dissecting Cellulitis of the Scalp: A Case Report

Dissecting cellulitis of the scalp, also commonly referred to as dissecting folliculitis, is a rare, chronic, relapsing, suppurative disease characterized by painful nodules, purulent drainage, burrowing, and interconnecting abscesses. Dissecting cellulitis disproportionately affects Black males in early and mid-adulthood and may result in cicatricial alopecia, scarring disfigurement, and impaired quality of life. This narrative introduces a representative case of dissecting cellulitis in an adult Black male, summarizes the epidemiology, etiology, pathology, and evaluation of the condition, reviews evidence-based best practices for management and interdisciplinary consultation, and highlights racial disparities associated with the disorder. By shedding light on dissecting cellulitis, this case report aims to facilitate early diagnosis, optimal management, and favorable outcomes for this progressive and debilitating condition.