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Hidradenitis Suppurativa

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Practices of Anorectal Surgery
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Abstract

Hidradenitis suppurativa is a chronic recurrent inflammation of the apocrine sweat gland. The cause of hidradenitis suppurativa is considered to be the sweat gland or follicular occlusion, but their underlying cause is not clear. It can be easily diagnosed by combining type of inflammation, recurrence, chronicity, and location. It is necessary to distinguish it from other infectious anal diseases such as anal fistula, Crohn’s disease, tuberculosis, pilonidal disease, and infected sebaceous cyst through physical examination. Hidradenitis suppurativa has various symptoms and does not have single therapy for complete cure.

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References

  1. Patil S, Apurwa A, Nadkarni N, Agarwal S, Chaudhari P, Gautam M. Hidradenitis Suppurativa: inside and out. Indian J Dermatol. 2018;63(2):91–8.

    PubMed  PubMed Central  Google Scholar 

  2. Mitchell KM, Beck DE. Hidradenitis suppurativa. Surg Clin North Am. 2002;82:1187–97.

    Article  Google Scholar 

  3. Brown TJ, Rosen T, Orengo IF. Hidradenitis supurativa. South Med J. 1998;91:1107–14.

    Article  CAS  Google Scholar 

  4. König A, Lehmann C, Rompel R, Happle R. Cigarette smoking as a triggering factor of hidradenitis suppurativa. Dermatology. 1999;198(3):261–4.

    Article  Google Scholar 

  5. Mortimer PS, Dawber R{, Gales MA, et al. Medication of hidradenitis suppurativa by androgens. Br Med J 1986;292:245–248.

    Article  CAS  Google Scholar 

  6. Wiltz O, Scoetz DJ, Murray JJ, et al. Perianal hidradenitis suppurativa. The lahey Clinic Experience. Dis Colon Rectum. 1990;33:731–4.

    Article  CAS  Google Scholar 

  7. Stellon AJ, Wakeling M. Hidradenitis suppurativa associated with use of oral contraceptives. BMJ. 1989;298(6665):28–9.

    Article  CAS  Google Scholar 

  8. Perez-Diaz D, Calvo-Serrano M, Martinez-Hijosa E, et al. Squamous cell carcinoma complicating perianal hidradenitis suppurativa. Int J Color Dis. 1995;10:225–8.

    Article  CAS  Google Scholar 

  9. Pérez-Diaz D, Calvo-Serrano M, Mártinez-Hijosa E, Fuenmayor-Valera L, Muñoz-Jiménez F, Turégano-Fuentes F, Del Valle E. Squamous cell carcinoma complicating perianal hidradenitis suppurativa. Int J Color Dis. 1995;10(4):225–8.

    Article  Google Scholar 

  10. Burrows NP, Jones RR. Crohn’s disease in association with hidradenitis suppurativa. Br J Dermatol. 1992;126(5):523.

    Article  CAS  Google Scholar 

  11. Gower-Rousseau C, Maunoury V, Colombel JF, Coulom P, Piette F, Cortot A, Paris JC. Hidradenitis suppurativa and Crohn’s disease in two families: a significant association? Am J Gastroenterol. 1992;87(7):928.

    CAS  PubMed  Google Scholar 

  12. Hurley H. Axillary hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa, and familial benign pemphigus: surgical approach. In: Roenigh RRH, editor. Dermatologic surgery. New York: Marcel Dekker; 1989. p. 729–39.

    Google Scholar 

  13. Canoui-Poitrine F, Revuz JE, Wolkenstein P, et al. Clinical characteristics of a series of 302 French patients with hidradenitis suppurativa, with an analysis of factors associated with disease severity. J Am Acad Dermatol. 2009;61:51–7.

    Article  Google Scholar 

  14. Thornton JP, Abcarian H. Surgical treatment of perianal and perineal hidradenitis suppurativa. Dis Colon Rectum. 1978;21:573–7.

    Article  CAS  Google Scholar 

  15. Clemmensen OJ. Topical treatment of hidradenitis suppurativa with clindamycin. Int J Dermatol. 1983;22(5):325–8.

    Article  CAS  Google Scholar 

  16. Culp CE. Chronic hidradenitis suppurativa of the anal canal. A surgical skin disease. Dis Colon Rectum. 1983;26(10):669–76.

    Article  CAS  Google Scholar 

  17. Rubin RJ, Chinn BT. Perianal hidradenitis suppurativa. Surg Clin North Am. 1994;74:1317–25.

    Article  CAS  Google Scholar 

  18. Brown CF, Gallup DG, Brown VM. Hidradenitis suppurativa of the anogenital region: response to isotretinoin. Am J Obstet Gynecol. 1988;158(1):12–5.

    Article  CAS  Google Scholar 

  19. Hogan DJ, Light MJ. Successful treatment of hidradenitis suppurativa with acitretin. J Am Acad Dermatol. 1988;19(2. Pt 1):355–6.

    Article  CAS  Google Scholar 

  20. Sawers RS, Randall VA, Ebling FS. Control of hidradenitis suppurativa in women using combined antiandrogen(ciproterone acetate) and oestrogen therapy. Br J Dermatol. 1986;115:269–74.

    Article  CAS  Google Scholar 

  21. Gupta AK, Ellis CN, Cooper KD, Nickoloff BJ, Ho VC, Chan LS, Hamilton TA, Tellner DC, Griffiths CE, Voorhees JJ. Oral cyclosporine for the treatment of alopecia areata. A clinical and immunohistochemical analysis. J Am Acad Dermatol. 1990;22:242–50.

    Article  CAS  Google Scholar 

  22. Janse I, Bieniek A, Horváth B, Matusiak Ł. Surgical procedures in hidradenitis suppurativa. Dermatol Clin. 2016;34(1):97–109.

    Article  CAS  Google Scholar 

  23. Mehdizadeh A, Hazen PG, Bechara FG, Zwingerman N, Moazenzadeh M, Bashash M, Sibbald RG, Alavi A. Recurrence of hidradenitis suppurativa after surgical management: a systematic review and meta-analysis. J Am Acad Dermatol. 2015;73(5 Suppl 1):S70–7.

    Article  Google Scholar 

  24. Kohorst JJ, Baum CL, Otley CC, Roenigk RK, Schenck LA, Pemberton JH, Dozois EJ, Tran NV, Senchenkov A, Davis MD. Surgical management of hidradenitis suppurativa: outcomes of 590 consecutive patients. Dermatol Surg. 2016;42(9):1030–40.

    Article  CAS  Google Scholar 

  25. Danby FW. Commentary: unroofing for hidradenitis suppurativa, why and how. J Am Acad Dermatol. 2010;63(3):481.e1–3.

    Article  Google Scholar 

  26. van Rappard DC, Mooij JE, Mekkes JR. Mild to moderate hidradenitis suppurativa treated with local excision and primary closure. J Eur Acad Dermatol Venereol. 2012;26(7):898–902.

    Article  Google Scholar 

  27. Brown SC, Kazzazi N, Lord PH. Surgical treatment of perineal hidradenitis suppurativa with special reference to recognition of the perianal form. Br J Surg. 1986;73:987–0.

    Article  Google Scholar 

  28. Rompel R, Petres J. Long-term results of wide surgical excision in 106 patients with hidradenitis suppurativa. Dermatol Surg. 2000;26(7):638–43.

    Article  CAS  Google Scholar 

  29. Burney RE. 35-year experience with surgical treatment of hidradenitis suppurativa. World J Surg. 2017;41(11):2723–30.

    Article  Google Scholar 

  30. Posch C, Monshi B, Quint T, Vujic I, Lilgenau N, Rappersberger K. The role of wide local excision for the treatment of severe hidradenitis suppurativa (Hurley grade III): retrospective analysis of 74 patients. J Am Acad Dermatol. 2017;77(1):123–9.

    Article  Google Scholar 

  31. Menderes A, Sunay O, Vayvada H, Yilmaz M. Surgical management of hidradenitis suppurativa. Int J Med Sci. 2010;7(4):240.

    Article  Google Scholar 

  32. Banerjee AK. Surgical treatment of hidradenitis suppurativa. Br J Surg. 1992;79:863–6.

    Article  CAS  Google Scholar 

  33. Wilta O, Schoetz KJ Jr, Murray JJ, Roberts PL, Coller JA, Weidenheimer MC. Perianal hidradenitis suppurativa. The Lahey Clinic experience. Dis Colon Rectum. 1990;33:73–4.

    Article  Google Scholar 

  34. Mehdizadeh A, Jazen PG, Bechara FG, et al. Recurrence of hidradenitis suppurativa after surgical management a systematic review and meta-analysis. J Am Acad Dermatol. 2015;73(5.)(Suppl):S70–7.

    Article  Google Scholar 

  35. Watson JD. Hidradenitis suppurativa-a clinical review. Br J Plast Surg. 1985;38:567–9.

    Article  CAS  Google Scholar 

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Lee, J.E. (2019). Hidradenitis Suppurativa. In: Lee, D. (eds) Practices of Anorectal Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-13-1447-6_15

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  • DOI: https://doi.org/10.1007/978-981-13-1447-6_15

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1446-9

  • Online ISBN: 978-981-13-1447-6

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