What Causes It?
The exact cause of dissecting cellulitis remains unclear, but doctors believe several factors are involved:
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Follicular occlusion: Hair follicles become blocked, leading to inflammation and rupture.
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Immune response: The body reacts strongly to follicle damage, causing chronic inflammation.
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Bacterial role: While not always present, bacteria may worsen the inflammation.
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Genetics and hormones: These may play a role in who develops the condition.
Interestingly, DCS is considered part of the “follicular occlusion triad”, which also includes hidradenitis suppurativa (boils in skin folds) and acne conglobata (severe nodular acne).
