Hoffmann's Abscess Undermining Folliculitis And Perifolliculitis of the Scalp (E. Hoffmann, 1868-1959, German Dermatologist; Syn. Pusey Cellulitis)

Hoffmann's Abscess Undermining Folliculitis and Perifolliculitis of the Scalp: Detailed Description and Clinical Features

Hoffmann abscess folliculitis and perifolliculitis of the scalp (synonym: Pusey cellulitis) is a type of chronic deep pyoderma that manifests itself as the appearance of deep inflammatory nodules on the scalp, especially on the face. This disease is characterized by the formation of fistula-like passages connecting inflammatory foci, as well as the subsequent formation of uneven keloid scars.

Hoffmann abscess folliculitis and perifolliculitis of the scalp was first described by German dermatologist E. Hoffmann in 1868 and is a rare disease that often results in significant physical and emotional suffering in patients.

Clinical manifestations of this disease include deep inflammatory nodules that can be painful and cause discomfort. They are usually located on the scalp, especially in the facial area, and can be single or multiple. The nodes can be connected to each other by fistula-like passages, which leads to the formation of complex systems of inflammatory channels under the skin. After regression of inflammation, uneven keloid scars are formed, which can significantly change the patient’s appearance.

The causes of Hoffmann abscess folliculitis and perifolliculitis of the head are not completely clear. However, it is believed that genetic factors, disorders of the immune system and sebaceous gland secretions, as well as bacterial infection may play a role in the development of this disease.

The diagnosis of Hoffmann's abscessing undermining folliculitis and perifolliculitis of the head is based on the clinical picture and characteristic signs of the disease. Additional research methods, such as bacteriological studies and histological analysis, can be used to confirm the diagnosis and exclude other possible diseases.

Treatment of Hoffmann abscess folliculitis and perifolliculitis of the head is complex and must be individualized for each patient. This may include the use of systemic and local anti-inflammatory drugs, antiseptics, antibiotics, immunomodulators and surgical interventions in the case of abscesses and fistulas.

However, it should be noted that Hoffmann abscess folliculitis and perifolliculitis of the head is a chronic disease and complete cure may be difficult. The goal of treatment is to reduce inflammation, prevent the formation of new lesions and improve the patient's quality of life.

It is also important to pay attention to psychological support of patients, since Hoffmann's abscess

Hoffman abscess undermining folliculitis and perifolicle is one of the common forms of chronic pustular skin diseases. It is the most dangerous type of chronic deep streptococcal pyoderma, common mainly among patients with type I diabetes mellitus. Initially it was called the term Pius cellulitis (“venous phlegmon”), after clarifying the main inflammatory process it received the name Pius folliculitis. It was discovered by the famous German dermatologist, Professor Otto Hoffmann, so in some sources this disease may also be called Hoffmanian abscess or Hoffmania.

**Symptoms** The main symptoms of Hoffman's abscess are: * Redness and