New approach in combined therapy of perifolliculitis capitis abscedens et suffodiens.

Journal Compilation © 2011 Acta Dermato-Venereologica. ISSN 0001-5555 Perifolliculitis capitis abscedens et suffodiens (PCAS) is a rare scalp disease seen mostly in young males of Afro-American descent. The disease is characterized by perifollicular pustules, suppurative nodules and fluctuating abscesses, as well as by intercommunicating sinus tracts on the scalp. We report here an elderly Caucasian woman who fulfilled the clinical and histological criteria for diagnosis of PCAS. The patient was treated with initial prednisolone, systemic acitretin, topical tacrolimus and oral zinc. After 6 months, her condition was stable.