Scalp Perifolliculitis Capitis Abscedens et Suffodiens (PCAS) in Ethiopian Child: Single Case Report

Abstract

Perifolliculitis capitis abscedens et suffodiens also known as Perifolliculitis capitis abscedens et suffodiens of Hoffman, Dissecting folliculitis, and Dissecting cellulitis of the scalp. It is an inflammatory condition of the scalp that can lead to scarring alopecia, which begins with deep inflammatory nodules, primarily over occiput, that progresses to coalescing regions of boggy scalp. An eight-year-old Ethiopian male child, resident in Khartoum, Sudan presented with tender progressing fluctuant nodules and alopecia on his scalp for nine months. The lesions often oozed a serosanguinous discharge and occasionally bled. All cultures of the discharge were negative. He had been treated with courses of Azithromycin, Tinidazole, and oral Prednisolone with some improvement. The trial of oral steroids relieved the tenderness and reduced the discharge temporarily. Family history of mild, similar scalp conditions in both younger brothers