Ectopic Hidradenitis Suppurativa: Case Report and Review of Literature

Gutierrez, Nikolas; Cohen, Philip R.

doi:10.7759/cureus.12966

Cited by 5 publications

(5 citation statements)

References 14 publications

(30 reference statements)

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“…HS, like other inflammatory dermatoses, is associated with mental comorbidities, mainly Depression and Anxiety. Metaanalysis involving 28 studies related to Depression and HS, and 12 studies related to Anxiety, showed a prevalence of 21% (95% CI [17][18][19][20][21][22][23][24][25] in relation to Depression, and 12% (95% CI [6][7][8][9][10][11][12][13][14][15][16][17] in relation to Anxiety in patients with HS with wide variations in both cases, demonstrating that patients with HS have a high impact of Depression and Anxiety [196]. In a prospective study with 51 patients with HS, 29.4% presented mental symptoms, mainly symptoms of depressive disorder.…”

Section: Hidradenitis Suppurativa and Mental Health (Psychiatric Dise...mentioning

confidence: 99%

“…Clinically, it manifests as multiple papules, nodules and abscesses in flexural areas of the body such as armpits, inguinal and perigenital regions and perineum [4], as well as in non-flexural areas such as legs, dorsal and pectoral regions, ears and penis [5]. HS can also manifest in unusual locations such as the abdomen, amputation stump, cesarean scar, chest, dorsal region of the foot, eyelids, knees, post-auricular region and scalp [6]. There are reports of involvement of the follicular portion of the pilosebaceous units [7] and genetic predisposition [8], and associations with significant comorbidities such as smoking, obesity, metabolic syndrome and diabetes mellitus [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Qualitative Systematic Review on the Bio-Psycho-Socioeconomic Impact of Hidradenitis Suppurativa/Acne Inversa

Augusto,

Monica,

Giulia

et al. 2024

J Surgery

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Hidradenitis Suppurativa or Acne Inversa (HS) is a chronic, inflammatory, recurrent integumentary disease, with periods of exacerbation, related to metabolic comorbidities, affecting the well-being, quality of life and mental health of patients, in addition to negatively influencing oral health and women’s health levels as well. It often presents little responsiveness to conventional dermatological treatments. With the aim of estimating the biopsychosocial and economic impact on patients’ lives, a qualitative systematic review was planned. The results were similar to clinical practice and also with several qualitative reviews, i.e. low efficiency. It was observed few studies of good quality, low number randomized clinical trials, and quantitative systematic review, as well. Thus, (HS) has not yet been mapped into the Evidence-Based paradigm and justifies the low assertiveness of therapeutic modalities conventionally instituted to date, as most of them are still structured empirically. Under this circumstance, and due experience and achieviments with these patients at the Instituto da Pele/Departamento de Dermatologia da Escola Paulista de Medicina da Universidade Federal de São Paulo/UNIFESP/Brazil (Monson 2019) [1], was decided to expand spectrum the research, and to add Oral and Systemic Health and Women’s Health, simultaneously to the conventionally studied biopsycho-social parameters. The results were not surprising and revealed the importance of expanding scientific research on HS. As implications for practice, we sought to qualitatively map knowledge to help organize a comprehensive minimum protocol for HS care beyond the conventionally adopted parameters, and include ways of measuring the quality levels of oral health and women’s health with aimed at the quality of life of these patients. Thus, a more realistic and assertive management could be given to the target population, as well as the adoption of complementary therapeutic modalities (according to WHO parameters), and applied in a co-intervention regime, to control these new sets of comorbidities that have been considered by the present study with the objective of increasing the levels of efficacy, effectiveness and safety by Good Clinical Practices. Even though we still do not have the methodological conditions to establish Guidelines for HS, we at least strive to make care for these patients increasingly humanized and inclusive

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Section: Hidradenitis Suppurativa and Mental Health (Psychiatric Dise...mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Qualitative Systematic Review on the Bio-Psycho-Socioeconomic Impact of Hidradenitis Suppurativa/Acne Inversa

Augusto,

Monica,

Giulia

et al. 2024

J Surgery

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“…Gutierrez et al . [ 9 ] reported an ectopic HS that is located in a 59-year-old male’s right posterior thigh, whereas Rondags et al . reported it in a 28-year-old male’s right dorsal foot [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

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

Alhusain,

Almosa,

Alqirnas

et al. 2023

Journal of Surgical Case Reports

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Hidradenitis suppurativa (HS) is a chronic inflammatory disorder that is characterized by deep-seated painful nodules, classically in the intertriginous skin and apocrine gland-rich areas of the body such as the anogenital, axillary, inframammary and inguinal regions. This is a case of a 35-year-old female, who is known to have gluteal HS, she underwent neck liposuction procedure that was then complicated by anterior neck HS, which is considered as an atypical location. The patient received medical treatment with antibiotics and showed huge improvement. In addition, in patients who do not show response to medical therapy, surgical treatment is usually carried out by incising the area affected and leaving the wound open to be healed by secondary intention or covering it with a skin graft if the area is extensive.

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“…Lesions most commonly arise in the anogenital, axillary, inframammary and inguinal regions. Seldom, these lesions occur in sites where apocrine glands are either absent or scanty 2 3…”

Section: Introductionmentioning

confidence: 99%

“…Unusual areas where the disease was reported as atypical are the abdomen, amputation stump, caesarian scar, chest, dorsal foot, eyelids, knees, retroauricular region and scalp 2 3…”

Section: Introductionmentioning

confidence: 99%

Use of multiple fasciocutaneous flaps for the management of extensive hidradenitis suppurativa

Alshammary,

Hbib Allaha,

Fakhruddin

et al. 2023

BMJ Case Rep

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Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease with a relapsing nature that has a significant impact on the patient’s quality of life. The clinical presentation of the disease includes deep dermal abscesses and sinus tracts. Long-term affliction of the disease may lead to contractures, scars and fibrosis. Management is still challenging and varies from medical to surgical options. We report the following case of a man in his 30s who presented with severe HS in the axillae, groins, perineum and lower sacral region. The patient has been treated by excision of the whole lesions followed by using multiple fasciocutaneous flaps as a reconstructive method.

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Ectopic Hidradenitis Suppurativa: Case Report and Review of Literature

Cited by 5 publications

References 14 publications

Qualitative Systematic Review on the Bio-Psycho-Socioeconomic Impact of Hidradenitis Suppurativa/Acne Inversa

Qualitative Systematic Review on the Bio-Psycho-Socioeconomic Impact of Hidradenitis Suppurativa/Acne Inversa

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

Use of multiple fasciocutaneous flaps for the management of extensive hidradenitis suppurativa

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