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Hidradenitis suppurativa. A case report.

Ovidiu Fabian, Emilia Maria Patrut, Flaviu Muresan

    Annali Italiani Di Chirurgia
    |May 25, 2023
    PubMed
    Summary

    Hidradenitis suppurativa, a debilitating skin condition, presents significant treatment challenges. This case highlights successful management of advanced disease using combined surgical techniques and conservative care.

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    Area of Science:

    • Dermatology and General Surgery

    Background:

    • Hidradenitis suppurativa (HS) is an underestimated, chronic inflammatory skin disease.
    • It causes significant physical and social disability, posing treatment challenges for clinicians.

    Observation:

    • A 28-year-old male presented with an advanced and persistent form of hidradenitis suppurativa.
    • The condition affected multiple body areas, including skin folds and ulcerated regions.

    Findings:

    • A multidisciplinary approach combining conservative management with extensive surgical interventions was employed.
    • Surgical procedures included wide excisions and reconstructive plasties utilizing fasciocutaneous superior gluteal artery perforator flaps, thoracodorsal artery perforator flaps, and free anterolateral thigh flaps.

    Implications:

    • This case underscores the complexity of managing severe hidradenitis suppurativa.
    • Advanced reconstructive techniques are crucial for improving patient outcomes and quality of life.