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[Peritoneo-gluteal suppurative hidradenitis].

S Kassab1, J M Servant, P Banzet

  • 1Service de Chirurgie plastique, Hôpital Saint-Louis, Paris.

Presse Medicale (Paris, France : 1983)
|October 1, 1988
PubMed
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Verneuil's disease, or hidradenitis suppurativa, involves chronic, painful skin lesions originating in apocrine glands. Current treatments include surgical excision and skin grafts, with limited success for isotretinoin.

Area of Science:

  • Dermatology
  • Surgical Pathology

Background:

  • Hidradenitis suppurativa (HS), also known as Verneuil's disease, is a chronic inflammatory skin condition.
  • It affects apocrine sweat gland-rich areas like the perineum, gluteal region, and axillae, causing painful, fistulized lesions.
  • The condition significantly impacts patients' daily lives due to its chronic nature and acute flare-ups.

Purpose of the Study:

  • To describe the clinical characteristics of perineo-gluteal hidradenitis suppurativa.
  • To outline current understanding of its etiology and treatment modalities.

Main Methods:

  • Review of clinical presentation of hidradenitis suppurativa in the perineo-gluteal region.
  • Discussion of proposed etiologies and established treatment protocols.

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Main Results:

  • The disease presents as infected, fistulized lesions, dermo-epidermal nodules, and subcutaneous infiltration, distinct from anal canal pathology.
  • Lesions stem from apocrine sweat glands, commonly found in the inguinal, perineal, and gluteal areas.
  • Etiology remains unknown, with theories including bacterial infection, hormonal influences, or developmental factors.

Conclusions:

  • Effective management involves wide surgical excision followed by skin grafting after granulation.
  • Isotretinoin has not demonstrated efficacy in treating this condition.