Advertisement

Hidradenitis Suppurativa

  • Jeong Eun Lee
Chapter

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.

Keywords

Hidradenitis suppurativa Surgical treatment Recurrence 

References

  1. 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.PubMedPubMedCentralGoogle Scholar
  2. 2.
    Mitchell KM, Beck DE. Hidradenitis suppurativa. Surg Clin North Am. 2002;82:1187–97.CrossRefGoogle Scholar
  3. 3.
    Brown TJ, Rosen T, Orengo IF. Hidradenitis supurativa. South Med J. 1998;91:1107–14.CrossRefGoogle Scholar
  4. 4.
    König A, Lehmann C, Rompel R, Happle R. Cigarette smoking as a triggering factor of hidradenitis suppurativa. Dermatology. 1999;198(3):261–4.CrossRefGoogle Scholar
  5. 5.
    Mortimer PS, Dawber R{, Gales MA, et al. Medication of hidradenitis suppurativa by androgens. Br Med J 1986;292:245–248.CrossRefGoogle Scholar
  6. 6.
    Wiltz O, Scoetz DJ, Murray JJ, et al. Perianal hidradenitis suppurativa. The lahey Clinic Experience. Dis Colon Rectum. 1990;33:731–4.CrossRefGoogle Scholar
  7. 7.
    Stellon AJ, Wakeling M. Hidradenitis suppurativa associated with use of oral contraceptives. BMJ. 1989;298(6665):28–9.CrossRefGoogle Scholar
  8. 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.CrossRefGoogle Scholar
  9. 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.CrossRefGoogle Scholar
  10. 10.
    Burrows NP, Jones RR. Crohn’s disease in association with hidradenitis suppurativa. Br J Dermatol. 1992;126(5):523.CrossRefGoogle Scholar
  11. 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.PubMedGoogle Scholar
  12. 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. 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.CrossRefGoogle Scholar
  14. 14.
    Thornton JP, Abcarian H. Surgical treatment of perianal and perineal hidradenitis suppurativa. Dis Colon Rectum. 1978;21:573–7.CrossRefGoogle Scholar
  15. 15.
    Clemmensen OJ. Topical treatment of hidradenitis suppurativa with clindamycin. Int J Dermatol. 1983;22(5):325–8.CrossRefGoogle Scholar
  16. 16.
    Culp CE. Chronic hidradenitis suppurativa of the anal canal. A surgical skin disease. Dis Colon Rectum. 1983;26(10):669–76.CrossRefGoogle Scholar
  17. 17.
    Rubin RJ, Chinn BT. Perianal hidradenitis suppurativa. Surg Clin North Am. 1994;74:1317–25.CrossRefGoogle Scholar
  18. 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.CrossRefGoogle Scholar
  19. 19.
    Hogan DJ, Light MJ. Successful treatment of hidradenitis suppurativa with acitretin. J Am Acad Dermatol. 1988;19(2. Pt 1):355–6.CrossRefGoogle Scholar
  20. 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.CrossRefGoogle Scholar
  21. 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.CrossRefGoogle Scholar
  22. 22.
    Janse I, Bieniek A, Horváth B, Matusiak Ł. Surgical procedures in hidradenitis suppurativa. Dermatol Clin. 2016;34(1):97–109.CrossRefGoogle Scholar
  23. 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.CrossRefGoogle Scholar
  24. 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.CrossRefGoogle Scholar
  25. 25.
    Danby FW. Commentary: unroofing for hidradenitis suppurativa, why and how. J Am Acad Dermatol. 2010;63(3):481.e1–3.CrossRefGoogle Scholar
  26. 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.CrossRefGoogle Scholar
  27. 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.CrossRefGoogle Scholar
  28. 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.CrossRefGoogle Scholar
  29. 29.
    Burney RE. 35-year experience with surgical treatment of hidradenitis suppurativa. World J Surg. 2017;41(11):2723–30.CrossRefGoogle Scholar
  30. 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.CrossRefGoogle Scholar
  31. 31.
    Menderes A, Sunay O, Vayvada H, Yilmaz M. Surgical management of hidradenitis suppurativa. Int J Med Sci. 2010;7(4):240.CrossRefGoogle Scholar
  32. 32.
    Banerjee AK. Surgical treatment of hidradenitis suppurativa. Br J Surg. 1992;79:863–6.CrossRefGoogle Scholar
  33. 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.CrossRefGoogle Scholar
  34. 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.CrossRefGoogle Scholar
  35. 35.
    Watson JD. Hidradenitis suppurativa-a clinical review. Br J Plast Surg. 1985;38:567–9.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Jeong Eun Lee
    • 1
  1. 1.Colorectal Division, Department of SurgeryHansol HospitalSeoulSouth Korea

Personalised recommendations