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[Causes of pilonidal sinus and pyoderma fistulans sinifica].

F Stelzner

    Langenbecks Archiv Fur Chirurgie
    |January 1, 1984
    PubMed
    Summary

    Pilonidal sinus and Pyodermia fistulans sinifica are acquired retention dermatopathies, not congenital. The best treatment involves surgical excision and epithelial flap transplantation.

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    Area of Science:

    • Dermatology
    • Surgical Pathology

    Background:

    • Pilonidal sinus and Pyodermia fistulans sinifica are classified as retention dermatopathies.
    • The etiology of these conditions has been debated, with congenital origins previously suggested.

    Observation:

    • The study observed that pilonidal sinuses are not congenital.
    • Acquired origins are strongly indicated by clinical observations.
    • Deep anal folds, stiff body hairs, and hair movement contribute to the condition.

    Findings:

    • Pilonidal sinuses arise from acquired factors, specifically hairs penetrating the skin.
    • Hair movement, driven by skin folds and friction, causes follicular penetration.
    • This mechanism explains the 'pin-like' entry of hair into the dermis.

    Implications:

    • Understanding the acquired etiology reframes treatment strategies for pilonidal sinus.
    • Surgical excision combined with epithelial flap transplantation is identified as the optimal therapeutic approach.
    • Further research into preventative measures based on hair mechanics may be warranted.

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