Unique Presentation of the Follicular Occlusion Tetrad: A Case Report and Review of the Literature

A 43-year-old female patient exhibited all four conditions of the follicular occlusion tetrad after 36 years of symptoms.

• The follicular occlusion tetrad consists of hidradenitis suppurativa, acne conglobata, dissecting cellulitis of the scalp, and pilonidal cyst.
• The patient had a history of treatment with ciprofloxacin, spironolactone, and salicylic acid prior to the current presentation.
• This case is the first report of the complete tetrad in a female patient.
• The patient was noted to be on semaglutide for weight loss at the time of presentation.
• A literature review suggests a potential link between the follicular occlusion tetrad and obesity, indicating a need for further investigation into treatment options.

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