Departement of Dermatology, Groupe Henri-Mondor, Albert-Chenevier, AP-HP, Paris, France.
Dermatology. 2010;221(2):137-41. doi: 10.1159/000315508. Epub 2010 Jul 5.
Hidradenitis suppurativa (HS) may be associated with face and back lesions which are considered as acne.
To describe the skin lesions of a group of patients with HS.
Twelve patients were selected from a series of 648 patients on the basis of their specific skin lesions.
The patients (mostly male) had typical hidradenitis. On their face or back they had one or several of the following skin lesions which are not seen in acne: hypertrophic rope-like bridged scars, raised plaques with multiple carbuncle-like openings or with ulcerations, 'worm-eaten scars' and coalescent nodules with round ulcerations. All patients had deep round scars. Several had a pilonidal cyst or large epidermal cysts. Isotretinoin had been used by 7 patients with no effect.
Some HS patients have specific lesions of the face and back which are not acne and have to be treated differently.
化脓性汗腺炎(HS)可能与面部和背部病变有关,这些病变被认为是痤疮。
描述一组 HS 患者的皮肤病变。
根据特定的皮肤病变,从 648 例患者中选择了 12 例患者。
这些患者(主要为男性)患有典型的化脓性汗腺炎。在他们的面部或背部,有一个或多个以下在痤疮中看不到的皮肤病变:增生的绳状桥接瘢痕、隆起斑块,有多个痈样开口或溃疡、“虫蚀状瘢痕”和融合性结节,有圆形溃疡。所有患者都有深的圆形瘢痕。一些患者有藏毛窦或大的表皮囊肿。7 名患者曾使用异维 A 酸治疗,但无效果。
一些 HS 患者的面部和背部有特定的病变,这些病变不是痤疮,需要不同的治疗方法。