Development of New Lesions of Hidradenitis Suppurativa on a Caesarean Section Scar: A Manifestation of the Koebner Phenomenon?

Abstract

The Koebner phenomenon has been described following a surgical procedure in various dermatoses, including psoriasis, vitiligo, and lichen planus. • Koebnerization in hidradenitis suppurativa (HS) has recently been observed in patients in whom new lesions developed as a result of trauma. Novel Insights• The Koebner phenomenon following the scarring process on a cesarean section site has not previously been reported. • Avoidance of external trauma could be included in general measures of HS treatment. • Disease recurrence should be considered for patients treated with surgical excision of HS lesions. AbstractHidradenitis suppurativa (HS) is a chronic, inflammatory, recurrent skin disorder of the hair follicle. Trauma, mechanical pressure, or friction could have an important role in the pathogenesis of HS. We present a patient with HS who de-

Hidradenitis Suppurativa Recurrence in a Caesarean Scar

“…Unlike our patient, she was also noted to have active disease in bilateral axillae. She was treated with doxycycline 100 mg twice a day, and topical treatment with both the antiseptic octenidine and a clindamycin/benzoyl peroxide gel [4]. There has been one other case report published which describes wound dehiscence following caesarean section in a female with HS, with multiple other comorbidities including obesity, gestational diabetes, and current smoker.…”

Submental liposuction with VASER complicated with hidradenitis suppurativa in neck area: a case report

“…reported a case of a 34-year-old female that had HS since she was 18 and developed new nodules and fistulas on her cesarean section scar; she underwent 5 months ago. The nodules and fistulas appeared after her second cesarean section for 2–3 weeks [ 12 ] ( Table 1 ).…”