Hidradenitis suppurativa: Mammographic and sonographic manifestations in two cases

Newman, Tiffany M.; Sheth, Monica M.; Levy, Allison; Babagbemi, Kemi

doi:10.2484/rcr.v8i3.737

Cited by 5 publications

(12 citation statements)

References 8 publications

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“…A T1-súlyozású képeken a laesióknak alacsony jelintenzitásuk van, T2-n és STIR-en magas; súlyos HS esetén ezek tipikusan multiplex tályogos keretet mutatnak a superficialis dermisben. Egy vizsgálat során a HS elváltozásait mammográfiával is vizsgálták, mellyel az elváltozás ugyancsak jól megítélhető volt [5,21,23].…”

Section: A Hs Képalkotó Diagnosztikájaunclassified

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A hidradenitis suppurativa nőgyógyászati vonatkozásai

et al. 2019

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Hidradenitis suppurativa is a chronic inflammatory disease of the hair follicles, usually presenting after puberty on the apocrine gland-bearing areas of the body. It usually flares up periodically and can lead to a severe condition affecting the 20–40-year-old childbearing age group. HS occurs more commonly in women. The main clinical features consist of painful, cicatrizing nodules and abscesses which develop mostly in the axillary, inguinal, genital and perianal regions and also on the breasts. HS is often accompanied by severe pain and malodorous discharge, both of which cause significant psychological stress and social stigma. Our main aim with this review paper is to highlight the gynecological aspects of this disease, as many times – due to the typical localization of the disease – patients seek gynecological care first when they experience the first symptoms of this disease. The most important classification of HS is the Hurley scale, which is based on the severity of the clinical symptoms. In recent years, numerous clinical trials have been conducted to seek optimized care of HS patients. Several drugs are used for the treatment of HS, but in most cases, the treatment has to be switched many times. It is of great importance to carefully follow comorbidities and possible pregnancies as in these cases, careful selection of treatment is required. Thus, HS is not only a dermatological, but also a gynecological disease. With an appropriate treatment and follow-up, the disease can be effectively handled. Orv Hetil. 2019; 160(8): 291–299.

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Section: A Hs Képalkotó Diagnosztikájaunclassified

“…A HS számos, apokrin miriggyel fedett bőrterületen előfordulhat, predilekciós helyei azonban nemenként különböznek. A perianalis érintettség gyakoribbnak tűnik a férfiakban, míg a genitofemoralis HS a legtöbbször nőkben fordul elő [5].…”

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A hidradenitis suppurativa nőgyógyászati vonatkozásai

et al. 2019

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“…Other imaging techniques such as a barium enema, positron emission tomography, real-time spatial compound ultrasound imaging, mammography and thermography have also been described in case reports or small case series (n < 10). [22][23][24][25][26][27]…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Current and future treatment of hidradenitis suppurativa

Straalen¹,

Schneider‐Burrus

Prens³

2018

Br. J. Dermatol.

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This scholarly review on the current and future treatment of hidradenitis suppurativa (HS) focuses on medical and surgical treatment options, while novel pipeline drugs are also discussed. Treatment goals are to limit the incidence and duration of flares, reducing inflammation and suppuration, achieving local cure after surgery and, most importantly, to improve the quality of life of patients with HS. The type of medication and/or surgery should be chosen based on the stage of the disease and the degree of inflammation. However, the lack of a simple scoring system and the lack of clear surgical outcome definitions hamper the interpretation of treatment efficacy and the comparison between different treatment strategies. The therapeutic pipeline for HS is gradually expanding, and will probably lead to a broader panel of more effective therapeutic options.

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“…Hair follicles become plugged secondary to hyperkeratosis, and the pilosebaceous units become dilated to the extent that they rupture into the nearby dermis. This can lead to abscess formation and infections, and when the follicles become re-epithelialized, sinus tracts can form in which bacteria become trapped ( 54 ).…”

Section: Ultrasonographymentioning

confidence: 99%

“…Intradermal, hypoechoic lesions (some with central echogenicity) were shown to also have peripheral vascularity. Vascularity and resistance index can be other identifying features of this methodology in examining HS lesions ( 54 ).…”

Section: Ultrasonographymentioning

confidence: 99%

Ultrasound and Infrared-Based Imaging Modalities for Diagnosis and Management of Cutaneous Diseases

et al. 2018

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Non-invasive bedside imaging tools are becoming more prevalent for assessing cutaneous lesions. Ultrasound used at specific frequencies allows us to assess margins of lesions to minimize the extent of the biopsy that is performed and improve cosmetic outcomes. Vascularity, seen on Doppler ultrasound and contrast-enhanced ultrasound, and stiffness, assessed on tissue elastography, can help differentiate between benign and malignant lesions for clinicians to be more judicious in deciding whether to biopsy. Moreover, research has shown the efficacy in using ultrasound in monitoring flares of hidradenitis suppurativa, a disease affecting apocrine gland-rich areas of the body, for which the current gold standard involves examining and scoring inflammatory lesions with the naked eye. Infrared-based modalities have also been on the uptrend to aid in clinical decision-making regarding suspiciousness of lesions. Reflectance confocal microscopy has lateral resolution that is comparable to histopathology and it has been shown to be an appropriate adjunctive tool to dermoscopy, specifically when evaluating melanomas. Optical coherence tomography has utility in determining lesion thickness because of its depth penetration, and spectrophotometric intracutaneous analysis is becoming more popular as a tool that can be used by general practitioners to know when to refer to dermatology regarding worrisome pigmented lesions. Strides have been made to incorporate electrical impedance spectroscopy alongside dermoscopy in decision-making regarding excision, although the evidence for its use in the clincial setting remains inconclusive. This paper reviews the efficacy and drawbacks of these techniques in the field of dermatology and suggests future directions.

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Hidradenitis suppurativa: Mammographic and sonographic manifestations in two cases

Cited by 5 publications

References 8 publications

A hidradenitis suppurativa nőgyógyászati vonatkozásai

A hidradenitis suppurativa nőgyógyászati vonatkozásai

Current and future treatment of hidradenitis suppurativa

Ultrasound and Infrared-Based Imaging Modalities for Diagnosis and Management of Cutaneous Diseases

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