Ather Shahzad, Chan David S Y, Leaper David J, Harding Keith G
Wound Healing Research Unit, School of Medicine, Cardiff University, Cardiff CF14 4UJ, Wales, UK.
Int Wound J. 2006 Sep;3(3):159-69. doi: 10.1111/j.1742-481X.2006.00235.x.
The chronic and relapsing nature of hidradenitis suppurativa leads to physical and psychological damage. The absence of a proven cure further worsens the scenario. Patient 1 was a 28-year-old woman with a 10-year history of abscesses and non healing sinuses with foul-smelling discharge from her axilla, submammary and groin areas. This led to an episode of self-harm due to severe depression. After failed medical therapy, she was referred for surgery with wide excision of the skin and healing by secondary intention. Her wounds were managed by our specialist wound clinic with the use of topical and systemic antibiotics and thus remained free from symptoms. Patient 2 was a 32-year-old woman with a similar history for 15 years. Patient 3 was a 41-year-old man with a 20-year history of discharging sinuses and abscesses. All the patients had endured a long period of medical treatment and subsequently required surgery for a long-term relief of symptoms. This has undoubtedly led to psychological symptoms and a decrease in quality of life.
化脓性汗腺炎的慢性复发性导致身体和心理损害。缺乏已证实的治愈方法使情况进一步恶化。患者1是一名28岁女性，有10年腋窝、乳房下和腹股沟区脓肿及不愈合窦道伴恶臭分泌物的病史。这导致了一次因严重抑郁而出现的自残事件。在药物治疗失败后，她被转诊接受手术，广泛切除皮肤并二期愈合。我们的专科伤口诊所通过使用局部和全身抗生素对她的伤口进行处理，因此她的症状得以消除。患者2是一名32岁女性，有15年类似病史。患者3是一名41岁男性，有20年排脓窦道和脓肿病史。所有患者都经历了长时间的药物治疗，随后需要手术以长期缓解症状。这无疑导致了心理症状和生活质量下降。
