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October 1992

Perifolliculitis Capitis Abscedens et Suffodiens: Resolution With Combination Therapy

Author Affiliations

Montreal, Quebec

Arch Dermatol. 1992;128(10):1329-1331. doi:10.1001/archderm.1992.01680200039004

REPORT OF A CASE  A 25-year-old black heterosexual man had coalescing tender nodules and abscesses with patchy alopecia present on his scalp for 1 year. The patient was in good health with no known allergies and no family history of a similar disorder. Six months previously, he had received a 1-month course of oral tetracycline (250 mg four times a day) without any effect.Several oily fluctuant abscesses on the vertex of the scalp had purulent drainage and associated patchy alopecia (Fig 1). The only other skin lesions were small facial acne cysts. There were several small, nontender, moveable cervical and occipital lymph nodes.Complete blood cell count and differential cell count, serum biochemistry profile (including liver function tests, cholesterol, and triglycerides), urinalysis, enzyme-linked immunosorbent assay for human immunodeficiency virus, VDRL, and the FTA-ABS (fluorescent treponemal antibody—absorption) test were within normal limits. Repeated cultures of

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