[Cutis verticis gyrata-like acne inversa. Combined medical and surgical management].

A 22-year-old soldier developed during his assignment in Afghanistan purulent draining nodules and fistulas on the scalp. The clinical picture resembled an inflammatory variant of cutis verticis gyrata, and taken together with the histology the diagnosis of acne inversa of the scalp was established. Therapy was started with corticosteroids and isotretinoin, which stopped the secretion of pus: thereafter all there nodules and draining sinuses were excised. After surgery, medication was continued with low dose isotretinoin and dapsone. A complete healing was achieved with this combined regimen.