Caso para diagnóstico

Vasconcelos, Bárbara Nader; Fonseca, João Carlos Macedo; Obadia, Daniel Lago

doi:10.1590/s0365-05962011000300034

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…Hidradenitis suppurativa is a chronic suppurative inflammation of the apocrine sweat glands. Affected apocrine glands tend to occur within the axillary, inguinal, and perineal regions but may also be seen within the inframammary folds, around the areolae, and between the breasts [1,2]. Hidradenitis suppurativa is a purely clinical diagnosis characterized by painful, recurring, inflammatory papules and nodules with acute or chronic evolution that may result in fistula formation and tissue distortion.…”

Section: Discussionmentioning

confidence: 99%

Mammographic Features of Hidradenitis Suppurativa

Maimone¹,

McDonough²

2012

OJRad

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Hidradenitis suppurativa is a chronic suppurative inflammation of the apocrine sweat glands. Axillary, inframammary, intermammary, and peri-areolar apocrine gland involvement may be visualized mammographically. Characteristic lesions tend to be round or oval, lucent, and smooth-bordered, with or without central densities. While diagnosis made purely via mammography is unlikely, having an awareness of this entity may prove useful in patient care in regards to proper utilization of both imaging and consultative resources.

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Section: Discussionmentioning

confidence: 99%

Mammographic Features of Hidradenitis Suppurativa

Maimone¹,

McDonough²

2012

OJRad

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“…9 Notably, this patient had the onset of HS lesions after being treated with infliximab for Crohn's disease. Vasconcelos et al 10 reported improvement in a 13-year-old female treated with an unspecified maintenance dose of trimethoprim-sulfamethoxazole that was gradually withdrawn.…”

Section: Search Strategymentioning

confidence: 99%

Efficacy of medical treatments for pediatric hidradenitis suppurativa: A systematic review

Masson

Parvathala

et al. 2023

Pediatric Dermatology

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Hidradenitis suppurativa (HS) is a chronic, inflammatory skin condition that has been insufficiently studied in the pediatric population. Timely and effective medical treatments may improve quality of life, mitigate disease burden, and prevent the need for invasive procedural interventions such as surgical excisions. However, there is a paucity of research on the efficacy of medical management strategies for HS in children and adolescents. The aim of this study was to perform a systematic review of the literature on the efficacy and safety of medical treatments for HS in patients <18 years of age. In April 2022, MEDLINE and EMBASE databases were searched for articles on the efficacy of medical treatments for HS in the pediatric population. Between 1984 and 2022, 35 articles (101 patients) met the inclusion criteria. Most patients had Hurley Stage II disease (46.7%, 35/75) followed by Stage I (36%, 27/75), and Stage III (17.3%, 13/75). 100% (23/23) of patients responded to antibiotics, 100% (8/8) to finasteride, 93.9% (31/33) to biologics, 80% (4/5) to oral retinoids, and 50% (6/12) to metformin. Overall, this study demonstrates that medical treatment regimens can improve HS symptoms in pediatric patients, but the extent of improvement is unclear, and the results were largely based on case reports or case series. Prospective studies are warranted to better understand the efficacy and safety of medical treatments for pediatric HS. Clinical trials of HS therapies need to be inclusive of pediatric patients to help define the optimal timing of treatment initiation and guide patient selection.

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“…The sub-mammary region and skin folds due to obesity can also be involved, but affection of these areas without axillary or groin involvement is rare. [30] Over time, sinus tracts and fistulas develop. Hypertrophic scarring can often be seen.…”

Section: Introductionmentioning

confidence: 99%

Acne inversa (Hidradenitis suppurativa): A review with a focus on pathogenesis and treatment

Wollina

Koch

Heinig

et al. 2013

Indian Dermatol Online J

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Acne inversa (AI) is a disabilitating chronic inflammatory disease with major negative impact on quality of life and significant co-morbidities. This is an important link to insights into immune dysfunction, which stimulated therapeutic approaches like tumor necrosis-α inhibitor therapy. This new off-label drug treatment is particularly beneficial when used in combination with wide excision of inflamed skin and subcutaneous tissue. Retinoids have been reported to be helpful in secondary prevention. The standard of therapy in advanced cases is surgery with wide excisions and healing by secondary intention. This treatment results in significant reduction of complaints and achieves satisfactory body contouring.

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Caso para diagnóstico

Cited by 3 publications

References 6 publications

Mammographic Features of Hidradenitis Suppurativa

Mammographic Features of Hidradenitis Suppurativa

Efficacy of medical treatments for pediatric hidradenitis suppurativa: A systematic review

Acne inversa (Hidradenitis suppurativa): A review with a focus on pathogenesis and treatment

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