Coexistence of Hidradenitis Suppurativa and Steatocystoma Multiplex: Is It a New Variant of Hidradenitis Suppurativa?

Abstract

Hidradenitis suppurativa and steatocystoma multiplex may coexist in the same patient. The overlap of these 2 conditions could be suggestive of an unrecognized defect in follicular proliferation mutual in the pathogenesis of both conditions. Here we present 5 patients with both hidradenitis suppurativa and steatocystoma multiplex. Recognizing the overlap between these 2 conditions is important for accurate diagnosis, management, and identification of potential surgical candidates, as well as future basic science research.

Steatocystoma Multiplex

“…SM can transform into steatocystoma multiplex suppurativum (SMS, also known as steatocystoma multiplex conglobatum) at any point in time during its natural course [ Figure 3a ]. [ 16 ] It can have associated pain, pruritus, and pyrexia. [ 17 ] Cysts often become inflamed, rupture, and drain, resulting in scarring, thus sharing overlapping features with hidradenitis suppurativa.…”

“…[ 6 ] Ultrasonography with color Doppler is a non-invasive tool that can differentiate SM and HS. [ 16 ] Magnetic resonance imaging shows hyperintense lesions. [ 30 ]…”