Lamfichekh N, Dupond A S, Destrumelle N, Runser C, Humbert P, Mantion G
Service de Chirurgie Générale et Digestive, CHG "André Boulloche", Montbéliard.
Ann Dermatol Venereol. 2001 Feb;128(2):127-9.
Verneuil's disease (hidradenitis suppurativa) is a chronic inflammatory, suppurating and fistulizing disease of apocrine sweat gland-bearing skin. The aim of this study was to describe the surgical treatment, conducted in 15 patients suffering from this disease.
We retrospectively analyzed 15 observations (9 men, 6 women, mean age 38.6). The mean delay between beginning of the symptoms and diagnosis was 55.5 months. Surgery was conducted at the stage of abscesses, fistulization and keloids in all patients. The first surgical step was wide and deep excision of affected skin and subcutaneous fat. The second step was secondary intention healing, or ideal suture, Z plasty or dorsalis major flap.
Only four patients had complications: two axillary strictures, one anal margin stenosis and one hypertrophic scarring. Three relapses occurred, treated by excision under local anesthesia.
Surgical treatment seems to be the only definitive treatment of Verneuil's disease.
维尔诺伊病（化脓性汗腺炎）是一种累及顶泌汗腺皮肤的慢性炎症性、化脓性和瘘管性疾病。本研究旨在描述对15例患有该疾病患者实施的手术治疗。
我们回顾性分析了15例病例（9例男性，6例女性，平均年龄38.6岁）。症状出现至诊断的平均间隔时间为55.5个月。所有患者均在脓肿、瘘管形成和瘢痕疙瘩阶段接受手术。第一步手术是广泛而深入地切除受累皮肤及皮下脂肪。第二步是二期愈合、理想缝合、Z成形术或背阔肌皮瓣转移术。
仅4例患者出现并发症：2例腋窝狭窄、1例肛门边缘狭窄和1例肥厚性瘢痕。发生了3例复发，通过局部麻醉下切除进行治疗。
手术治疗似乎是维尔诺伊病唯一的确定性治疗方法。
