Document Detail


Management of fulminant dissecting cellulitis of the scalp in the pediatric population: Case report and literature review.
MedLine Citation:
PMID:  19554179     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
A case of fulminant dissecting cellulitis of the scalp in a fifteen-year-old African American male is reported. The presentation was refractory to standard medical treatment such that treatment required radical subgaleal excision of the entire hair-bearing scalp. Reconstruction was in the form of split-thickness skin grafting at the level of the pericranium following several days of vacuum-assisted closure dressing to promote an acceptable wound bed for skin grafting and to ensure appropriate clearance of infection. Numerous nonsurgical modalities have been described for the treatment of dissecting cellulitis of the scalp, with surgical intervention reserved for patients refractory to medical treatment. The present paper reports a fulminant form of the disease in an atypical age of presentation, adolescence. The pathophysiology, etiology, natural history, complications and treatment options for dissecting cellulitis of the scalp are reviewed, and the authors suggest this method of treatment to be efficacious for severe presentations refractory to medical therapy.
Authors:
Jugpal S Arneja; Christopher N Vashi; Eti Gursel; Joseph L Lelli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Canadian journal of plastic surgery = Journal canadien de chirurgie plastique     Volume:  15     ISSN:  1195-2199     ISO Abbreviation:  Can J Plast Surg     Publication Date:  2007  
Date Detail:
Created Date:  2009-06-25     Completed Date:  2011-07-14     Revised Date:  2013-05-23    
Medline Journal Info:
Nlm Unique ID:  9434932     Medline TA:  Can J Plast Surg     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  211-4     Citation Subset:  -    
Affiliation:
Section of Plastic Surgery;
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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