采用全头皮切除及中厚皮片移植成功治疗顽固性头皮脓肿性穿掘性毛囊周围炎。
Successful treatment of recalcitrant dissecting cellulitis of the scalp with complete scalp excision and split-thickness skin graft.
作者信息
Bellew Supriya G, Nemerofsky Robert, Schwartz Robert A, Granick Mark S
机构信息
Department of Dermatology, New Jersey Medical School, Newark, New Jersey, USA.
出版信息
Dermatol Surg. 2003 Oct;29(10):1068-70. doi: 10.1046/j.1524-4725.2003.29305.x.
BACKGROUND
Dissecting cellulitis of the scalp (DCS) is a therapeutically challenging, chronic, progressive, suppurative disease of the scalp that is of unknown etiology. In addition to causing considerable discomfort and cosmetic disfigurement, long-standing lesions may result in the development of squamous cell carcinoma. Several treatment modalities for DCS have been employed with variable results.
OBJECTIVE
To report the successful treatment of an aggressive, refractory case of DCS with complete scalp excision and split-thickness skin graft.
METHODS
A 25-year-old black male with DCS was treated with complete scalp excision and split-thickness graft from the anterior thighs.
RESULTS
The patient has remained free of disease activity and is satisfied with the cosmetic result.
CONCLUSION
Complete scalp excision with split-thickness skin graft may be curative in patients with DCS and should be considered in recalcitrant cases that fail to respond to medical therapy.
背景
头皮穿掘性蜂窝织炎（DCS）是一种治疗上具有挑战性的、慢性、进行性、化脓性头皮疾病，病因不明。除了引起相当大的不适和外观毁损外，长期病变可能导致鳞状细胞癌的发生。已经采用了几种治疗DCS的方法，但结果各不相同。
目的
报告1例侵袭性、难治性DCS患者经全头皮切除和中厚皮片移植成功治疗的病例。
方法
1例25岁患有DCS的黑人男性患者接受了全头皮切除，并取自大腿前部的中厚皮片移植。
结果
患者疾病活动消失，对美容效果满意。
结论
全头皮切除联合中厚皮片移植对DCS患者可能具有治愈性，对于药物治疗无效的顽固性病例应考虑采用该方法。
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