Korean J Dermatol.  1976 Dec;14(4):375-381.

A Case of perifolliculitis Capitis Abscedens et Suffodiens

• Lee CH
• Choi JS
• Lee YS

Abstract

We presented a case of perifolliculitis capitis abscedens et suffodiens associated with acne conglobata in 40-year-old rnale. He had a sausage-shaped plaque containing many fistular tracts on right temnporal area and cicatrizing alopecia on occiput. On the middle portion of upper back he had a adult fist-sized plaque containing many fistular tracts. Histopathologically epidermis showed mild byperkeratosis and keratotic plugging and in the dermis most hair follicles were destroyed and replacel by fibrous tissue but there were moderxte cellular infiltration composed of neutrophils, lymphocytes a.nd hist.iocytes around the remained hair follicles. On serum electrophoresis alpha,-globulin was elevated and gamna globulin was the upper liviit of nornal variation. Skin tests with murnps vaccine, dinitrochloro benzene (DNCB) and old tuberculin disclosed the evidence of de reased c "ll-mediated immunity(CMI). All th se findings suggest thzt immune rriechanisni r,-ay be concerned ivith the pathogenesis in this case. He wa.s treated with th internal administration of antibiotic and corticosteroid and with surgical opening and curettage of fistular tracts

MeSH Terms

Acne Vulgaris
Adult
Alopecia
Benzene
Curettage
Dermis
Electrophoresis
Epidermis
Hair Follicle
Humans
Lymphocytes
Neutrophils
Skin Tests
Tuberculin
Benzene
Tuberculin