Deroofing followed by thorough sinus tract excision: a modified surgical approach for hidradenitis suppurativa

2019 ◽  
Vol 17 (7) ◽  
pp. 698-702 ◽  
Author(s):  
Robert Artur Dahmen ◽  
Spyridon Gkalpakiotis ◽  
Libuse Mardesicova ◽  
Petr Arenberger ◽  
Monika Arenbergerova
Keyword(s):  
Surgical Approach ◽  
Hidradenitis Suppurativa ◽  
Sinus Tract

Intermammary Hidradenitis Suppurativa: Considerations on a Unique Presentation

2021 ◽  
pp. 1-4
Author(s):  
Ana Luísa João ◽  
Nélia Cunha ◽  
Joana Cabete
Keyword(s):  
Surgical Approach ◽  
Inflammatory Disease ◽  
Pilonidal Sinus ◽  
Hidradenitis Suppurativa ◽  
Chronic Inflammatory Disease ◽  
Pilonidal Sinus Disease ◽  
Sinus Disease ◽  
Case Presentation ◽  
Overweight Women

Introduction: Hidradenitis suppurativa (HS) is a potentially disabling chronic inflammatory disease. The intermammary location, not clearly specified in the usual phenotypic classifications, entails significant functional and cosmetic compromise. Case Presentation: Eleven cases of predominantly intermammary disease with multiple fistulization and disfiguring scarring were observed at our Department between January 2016 and March 2020. They were young (mean age = 22 years) obese or overweight women, in which the medical-surgical approach has led to variable results. Discussion/Conclusion: Intermammary HS possibly represents a unique phenotypic presentation, likely to be fistulizing and severe. We believe that anatomo-functional considerations, which can be paralleled to pilonidal sinus disease, contribute to its pathophysiology and striking appearance, and further emphasize the importance of multidisciplinary endeavor to reduce the morbidity associated with this seemingly overlooked location.

Inframammary Hidradenitis Suppurativa: An optimal surgical approach to a challenging region

2020 ◽  
Vol 26 (11) ◽  
pp. 2312-2313
Author(s):  
Eran Shavit ◽  
Afsaneh Alavi ◽  
Ralph George
Keyword(s):  
Surgical Approach ◽  
Hidradenitis Suppurativa

scholarly journals Immunohistochemical Study of Cytokeratins in Hidradenitis Suppurativa (Acne Inversa)

2002 ◽  
Vol 30 (2) ◽  
pp. 131-136 ◽  
Author(s):  
I Kurokawa ◽  
S Nishijima ◽  
K Kusumoto ◽  
H Senzaki ◽  
N Shikata ◽  
...  
Keyword(s):  
Hidradenitis Suppurativa ◽  
Type A ◽  
Sinus Tract ◽  
Hair Follicles ◽  
Acne Inversa ◽  
Outer Root Sheath ◽  
Root Sheath ◽  
Normal Hair ◽  
Type C ◽  
Keratinized Epithelium

In 14 cases of hidradenitis suppurativa, cytokeratin (CK) expression was studied immunohistochemically, using six anti-keratin antibodies against CK1, CK10, CK14, CK16, CK17 and CK19, respectively. The draining sinus tract epithelium of hidradenitis suppurativa lesions was divided into three components: infundibular-like keratinized epithelium (type A), non-infundibular keratinized epithelium (type B), and non-keratinized epithelium (type C). In type A samples, CK17 (which is found in normal infundibulum) was not detected, suggesting fragility of this epithelial type. Keratin expression in types B and C epithelia was similar to that observed in the outer root sheath in normal hair follicles. Our results suggest that the draining sinus epithelium may possess characteristics of fragility, undifferentiation and hyperproliferation, as shown with CK expression.

Surgical Approach to Extensive Hidradenitis Suppurativa in the Perineal/Perianal and Gluteal Regions

2008 ◽  
Vol 33 (3) ◽  
pp. 481-487 ◽  
Author(s):  
Emre Balik ◽  
Tunc Eren ◽  
Türker Bulut ◽  
Yilmaz Büyükuncu ◽  
Dursun Bugra ◽  
...  
Keyword(s):  
Surgical Approach ◽  
Hidradenitis Suppurativa

Delivery of high-dose radiation for recurrence of breast cancer in a patient with hidradenitis suppurativa

2020 ◽  
Vol 13 (11) ◽  
pp. e238848
Author(s):  
Hamoun Rozati ◽  
Felicity J Ferguson ◽  
Ellie Rashidghamat ◽  
Girija Anand
Keyword(s):  
Breast Cancer ◽  
Hidradenitis Suppurativa ◽  
Sinus Tract ◽  
Skin Condition ◽  
High Dose ◽  
Radical Radiotherapy ◽  
Residual Symptoms ◽  
Safe Delivery ◽  
Radiation Technique ◽  
Dose Radiation

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition characterised by inflammatory nodules, abscesses, sinus tract formation and scarring. There is a lack of evidence for the use of radical radiotherapy for patients with a diagnosis of HS. A 56-year-old woman with a long-standing diagnosis of HS presented with a cutaneous local recurrence of breast cancer. Radical radiotherapy was offered despite issues with previous prolonged postoperative wound healing associated with the underlying HS. A multidisciplinary evaluation was conducted with breast surgeons, dermatologists and radiation oncologists to assess the safety of delivery of radical radiotherapy. Five weeks post radiotherapy, the patient had no significant residual symptoms from her breast cancer treatment for her HS and no escalation of treatment was required for her HS. Factors contributing to safe delivery of radical radiotherapy include medical optimisation prior to and during treatment, radiation dose, radiation technique and vigilant post-treatment surveillance.

Surgical Approach to Extensive Hidradenitis Suppurativa

2011 ◽  
Vol 37 (6) ◽  
pp. 835-842 ◽  
Author(s):  
OKTAY BÜYÜKAŞIK ◽  
AHMET OĞUZ HASDEMIR ◽  
NURETTIN KAHRAMANSOY ◽  
CAVIT ÇÖL ◽  
HAYRI ERKOL
Keyword(s):  
Surgical Approach ◽  
Hidradenitis Suppurativa
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