Dubost-Brama A, Delaporte E, Alfandari S, Piette F, Bergoend H
Service de Dermatologie A, Hôpital Claude-Huriez, CHRU, Lille.
Ann Dermatol Venereol. 1994;121(4):328-30.
Perifolliculitis capitis abscedens et suffodiens is a rare, chronic and suppurative scalp disease. The treatment of this condition is difficult. CASE REPORT. We report a case successfully treated with isotretinoin at the dose of 2/3 mg/kg/day during eight month. DISCUSSION. The main difficulty is the maintenance of remission after drug withdrawal, so, duration of treatment has to be defined. A eight month's therapy seems to constitute the minimum duration in this pathology. A second course of isotretinoin is still possible if relapse occurs. CONCLUSION. A long course of isotretinoin can be considered as the most effective treatment in perifolliculitis capitis abscedens et suffodiens.
穿掘性头部毛囊周围炎是一种罕见的慢性化脓性头皮疾病。这种病症的治疗很困难。病例报告。我们报告一例患者，以2/3毫克/千克/天的剂量服用异维A酸治疗八个月后成功治愈。讨论。主要困难在于停药后维持缓解状态，因此必须确定治疗时长。八个月的治疗似乎是这种病症的最短治疗时长。如果复发，仍可进行第二个疗程的异维A酸治疗。结论。可以认为长疗程的异维A酸治疗是穿掘性头部毛囊周围炎最有效的治疗方法。
