Related Experiment Video
Updated: Mar 19, 2026
Ultrasonographic Evaluation of Breast Cancer-related Lymphedema
Published on: January 12, 2017
Ultrasound Diagnosis and Staging in Pediatric Hidradenitis Suppurativa
Ximena Wortsman1,2, Carolyn Rodriguez3, Carolina Lobos4
1Department of Radiology, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Clinica Servet, Faculty of Medicine, University of Chile, Santiago, Chile.
Insights
Ultrasound is a valuable tool for diagnosing and staging pediatric hidradenitis suppurativa (HS). This imaging modality identified key features like pseudocysts and fistulous tracts, aiding in treatment decisions for children with HS.
Area of Science:
- Pediatric Dermatology
- Medical Imaging
- Ultrasound Technology
Background:
- Hidradenitis suppurativa (HS) affects children, but its sonographic characteristics are not well-documented.
- Ultrasound is recognized for its utility in HS diagnosis and staging.
Purpose of the Study:
- To characterize the sonographic findings of HS in pediatric patients.
- To evaluate the role of ultrasound in the diagnosis and staging of pediatric HS.
Main Methods:
- Color Doppler ultrasound was used to examine 12 children (≤15 years) with confirmed HS.
- Sonographic scoring of hidradenitis suppurativa (SOS-HS) was applied for sonographic staging.
Main Results:
- Subclinical pseudocysts (92%), fluid collections (83%), and fistulous tracts (58%) were observed.
- Retained hair tracts were present in 100% of fluid collections and fistulous tracts.
- 67% of cases were classified as SOS-HS stage II, and 92% of management plans were altered post-ultrasound.
Conclusions:
- Ultrasound is a reliable and safe imaging tool for pediatric HS diagnosis and staging.
- Sonographic findings can guide noninvasive treatment monitoring in children with HS.
Abstract:
Hidradenitis suppurativa (HS) can affect children, and ultrasound has been proven to be useful in diagnosis and staging. The sonographic characteristics of HS in children have not been reported. We studied color Doppler ultrasound images of children (≤15 years old; n = 12) with clinically and sonographically positive criteria for HS. Sonographic scoring of hidradenitis suppurativa (SOS-HS) was used to stage the cases sonographically. Subclinical pseudocysts were found in 92% of the cases, fluid collections in 83%, and fistulous tracts in 58%. Retained hair tracts in the fluid collections and fistulous tracts were present in 100% of patients; 67% of cases were SOS-HS stage II. In 92% of cases, management was modified after the ultrasound examination. In conclusion, ultrasound can be a reliable and safe imaging tool to support diagnosis and staging and may help in the noninvasive monitoring of treatment in children.
More Related Videos
Related Concept Videos
01:17Ultrasonography
During an ultrasonography procedure, a handheld device called...
01:24Imaging Studies II: Ultrasonography
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
Endoscopic Ultrasound (EUS):