When it comes to scalp health, most people think about dandruff, hair loss, or itching. But there’s a rare and often misunderstood condition that can have a major impact on both appearance and quality of life: dissecting cellulitis of the scalp (DCS).
This chronic inflammatory disorder doesn’t just affect the skin—it can also cause permanent hair loss, scarring, and emotional distress. In this article, we’ll break down what DCS is, why it happens, and the treatment options available today.
What Is Dissecting Cellulitis of the Scalp?
Dissecting cellulitis of the scalp (sometimes called perifolliculitis capitis abscedens et suffodiens) is a chronic inflammatory disease of the hair follicles.
t usually starts with small, painful lumps under the skin. Over time, these lumps may enlarge, form abscesses (collections of pus), and create tunnels (sinus tracts) under the scalp. The inflammation often leads to scarring and permanent hair loss in the affected areas.
DCS is rare but tends to affect young to middle-aged men, especially those of African descent. However, it can occur in women and in other ethnic groups as well.
