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Published on: March 10, 2023
Crystallized phenol for sacral hidradenitis suppurativa
Ersin Turan1, Osman Dogru2, Süleyman Kargin3
1Department of General Surgery, Beyhekim State Hospital, Konya, Turkey.
Objective:
Multiple treatment options for hidradenitis suppurativa (HS) have been suggested; none 100% successful. We assessed crystallized phenol treatment (CPT) for sacral HS.
Methods:
Twenty-five patients with sacral HS were enrolled. HS severity was assessed by Hurley Score and HS-Physician's Global Assessment (HS-PGA). All the leaking openings were dilated by a thin mosquito clamp after local anesthesia. Any hair present was removed, and phenol was applied.
Results:
Patients were followed-up for a mean 36.8 months. The mean number of CPT application was 3.98. After CPT mean Hurley score decreased from 2.1 ± 0.68 to 1.2 ± 0.4 and HS-PGA score from 3 ± 1.22 to 0.72 ± 8.4 (p = .01). Recurrence was seen in 10 patients during follow-up period but they were re-treated with CPT.
Conclusion:
CPT may be useful as a first-line treatment of sacral HS.
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