Kevin is presenting with a very severe form of dissecting cellulitis, along with hidradenitis suppurativa. His condition has continued to progress aggressively despite multiple past attempts at treatment, creating the kind of difficult clinical problem that leads Dr. Sanusi Umar to look beyond conventional approaches.
When Powerful Medications Do Not Make an Impact
Kevin had already been treated with powerful medications, including isotretinoin, strong antibiotics, and other drugs. According to Dr. Umar, those efforts did not produce a meaningful improvement in this case. The condition continued to worsen, while inflammation, abscesses, and draining bumps became an ongoing burden for Kevin.
Dr. Umar explains that conventional treatments can have important limitations. A response may be incomplete, and even when medication works, he says the effect can be temporary after the drugs are stopped. In Kevin’s case, the earlier treatments did not appear to make an impact at all.
A Case That Calls for Thinking Outside the Box
For Dr. Umar, Kevin’s continued progression changed the problem from simply choosing another standard option to finding a different strategy. “I thought we need to really think outside the box to find solutions,” he says in the video.
The appearance of bumps that won’t heal can be described in many ways by patients, including terms such as razor bumps on the head, but Kevin’s case is specifically presented here as dissecting cellulitis with hidradenitis suppurativa. Dr. Umar keeps the focus on the conditions identified in Kevin’s case and on the challenge created by their aggressive progression despite prior treatment.
Distance Adds Another Layer of Complexity
Treatment planning also involves a practical challenge. Dr. Umar is in Los Angeles, while Kevin lives in Mexico City. Coordinating care across that distance makes an already complex case more difficult. Kevin has arrived with his mother, and Dr. Umar says they are trying to make the plan work.
This short Bumpinator chapter ends before revealing what happens next. Kevin is ready to move forward, and Dr. Umar has made clear that the next step will require a solution shaped around the realities of this case rather than relying only on approaches that have already failed him.
Watch the Chapter
https://youtube.com/shorts/Pa19nPNOb-E?si=MMIMAjyUaoRIgei0
Take the Next Step
Watch the matching reel on Instagram. TikTok: Watch on TikTok
https://dru.com/dissecting-cellulitis-hidden-inflammation-piilif/
Medical Disclaimer
This article shares one patient’s experience for educational purposes only. Individual cases vary. It is not a substitute for medical evaluation, diagnosis, or treatment by a qualified healthcare professional.
Further Reading
- Umar S, David CV, Castillo JR, Queller J, et al. Innovative surgical approaches and selection criteria of large acne keloidalis nuchae lesions. Plast Reconstr Surg Glob Open 2019; 7: e2215
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571336/ - https://dru.com/acne-keloidalis-nuchae-dissecting-cellulitis-john-case/
