John Libbey Eurotext

European Journal of Dermatology

Perifolliculitis capitis abscedens et suffodiens Volume 11, issue 2, March - April 2001

Authors
Instituto Dermopatico dell'Immacolata, IDI-IRCCS, Via dei Monti di Creta 104; 00167 Rome, Italy.
  • Page(s) : 155-6
  • Published in: 2001

A 25-year-old woman has been suffering for 3 years from painful, multiple, bald and fluctuant nodular lesions of the occipital scalp and retroauricular areas, some of which spontaneously disappeared (Fig. 1). In the past year, similar fistulized and ulcerated lesions in the left laterocervical area (Fig. 2) and hidradenitis of the left axillary area have also occurred. The clinico-pathological history of the patient was negative; she had no diabetes, acne or any underlying cutaneous or systemic illness and she wasn't taking any medication or oral contraceptives. The cultures for fungi, aerobic and anaerobic bacteria and alcohol-acid-fast bacilli were negative. A lesional skin biopsy showed a perifollicular inflammatory infiltrate of lymphocytes, plasmacells, eosinophils and neutrophils.