Dissecting cellulitis, also known as perifolliculitis capitis abscedens et suffodiens, is a chronic inflammatory scalp condition most seen in men of African descent. It presents painful, boggy nodules, pustules, and sinus tracts on the scalp, often leading to scarring alopecia. The dense, curly hair typical in African individuals may contribute to follicular occlusion, exacerbating the condition. Treatment includes long-term antibiotics (e.g., tetracyclines), isotretinoin, intralesional steroids, and in severe cases, surgical excision.