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Updated: Jul 25, 2025

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
Extensive chronic perianal pyoderma associated with persistent inflammation caused by wearing the same unwashed
Michiko Matsuzawa Adachi1, Katsuyuki Yoshida1, Takahiko Fukuchi1
1Department of Comprehensive Medicine 1, Division of General Medicine Jichi Medical University, Saitama Medical Centre Saitama Japan.
Key Clinical Message:
Poor personal hygiene wearing the same unwashed briefs, and prolonged sitting have led to the development of chronic perianal pyoderma. This can be confused with hidradenitis suppurativa and must be differentiated as their treatments are different.
Abstract:
There are potential risks of persistent inflammation resulting from poor personal hygiene. This comprises wearing the same unwashed briefs and prolonged sitting posture that led to developing chronic perianal pyoderma (CPP) in a smoking man. CPP can be confused with hidradenitis suppurativa, requiring differentiation as their treatment strategies distinctly differ.
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