Yuan Zhaojun, Xie Kai, Cao Nan, Wang Qingxue, Guo Xuan, Wu Yilei, Wang Honglei, Liu Hong, Liu Guoyan, Zhang Guangliang
From the Dermatology Hospital of Shandong First Medical University, Jinan, Shandong, China.
Department of Dermatologic Surgery, Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Plast Reconstr Surg Glob Open. 2025 May 9;13(5):e6794. doi: 10.1097/GOX.0000000000006794. eCollection 2025 May.
Perifolliculitis capitis abscedens et suffodiens (PCAS) is a chronic recurrent disease. Single treatment modalities are commonly ineffective. A surgical intervention combined with photodynamic therapy (PDT) may be an effective treatment strategy. Herein, we present the case of a 21-year-old man with a 2-month history of PCAS treated with such a treatment. PDT may directly eradicate sebaceous glands and reduce follicular hyperkeratosis, and the surgical procedure can eliminate septic and decayed tissue. The surgical intervention combined with PDT was effective in relieving the patient's pain, and we believe it provides an option for the treatment of PCAS.
穿掘性头部毛囊周围炎(PCAS)是一种慢性复发性疾病。单一治疗方式通常无效。手术干预联合光动力疗法(PDT)可能是一种有效的治疗策略。在此,我们报告一例21岁患有PCAS 2个月的男性患者接受这种治疗的病例。光动力疗法可直接根除皮脂腺并减少毛囊角化过度,而手术操作能够清除感染和坏死组织。手术干预联合光动力疗法有效缓解了患者的疼痛,我们认为它为穿掘性头部毛囊周围炎的治疗提供了一种选择。