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Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Case+Rep+Surg 2016 ; 2016 (ä): ä Nephropedia Template TP
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Surgical Management and Reconstruction of Hoffman s Disease (Dissecting Cellulitis of the Scalp) #MMPMID26966606
Hintze JM; Howard BE; Donald CB; Hayden RE
Case Rep Surg 2016[]; 2016 (ä): ä PMID26966606show ga
Dissecting cellulitis of the scalp, or Hoffman's disease, is a rare dermatologic condition characterized by recurrent pustules and sinus tract formation leading to scarring and alopecia. Medical management includes the use of corticosteroids, antibiotics, isotretinoin, and adalimumab. In cases where the disease is severe, refractory, and intractable, surgery is an option. We report two cases of Hoffman's disease, where medical management failed to achieve remission. Surgical treatment was undertaken with complete resection of the affected scalp in staged procedures with subsequent split-thickness skin grafting for reconstruction. Surgery achieved both disease remission and excellent aesthetic outcomes in both patients.