Related Experiment Video
Updated: Aug 15, 2025
Severe Burn Injury in a Swine Model for Clinical Dressing Assessment
Published on: November 6, 2018
Perineal burn injury with hidradenitis suppurativa: A case report
Linyue Wang1,2, Wenyue Qi1,2, Jihua Gao2,3
1Graduate School, Hebei University of Chinese Medicine, Shijiazhuang, China.
Rationale:
Hidradenitis suppurativa (HS) is a chronic, inflammatory skin disease which usually presents with painful, deep-seated, inflamed lesions in the apocrine gland-bearing areas. Severe HS has interconnecting sinus tracts and when it occurs in the perianal region, perianal fistulas can form. Obesity and smoking are 2 risk factors for the development of HS.
Patient Concerns:
We report a case of a 33-year-old male diagnosed with perianal HS and perianal fistula following a burn injury to the area that occurred during childhood.
Diagnosis:
Through integration of the clinical signs and imaging results, the patient was diagnosed with HS, Hurley stage III with perianal fistulas.
Interventions:
The patient accepted surgical therapy. Performed under the general anesthesia, the procedure comprised sinus tracts excision and drainage.
Outcomes:
The patient was discharged from the hospital 6 weeks after surgery.
Lessons:
The pathogenesis of the HS in this case was the burn injury interfering with sweat gland formation around the anus. Moreover, the scar from the burn made surgical treatment difficult.
