Dissecting cellulitis is an uncommon, chronic, progressive suppurative dise
ase of unknown etiology. It is characterized by painful papules and nodules
, interconnecting sinus tracts, purulent drainage, and scarring alopecia. T
his disease predominately affects young black men, but is rarely reported i
n white males. The refractory nature of this process makes treatment diffic
ult. We report a case of dissecting cellulitis in a white male, which respo
nded to oral isotretinoin.