Silva-Feistner Marcos, Salomone Claudia, Silva Sergio, Vial-Letelier Verónica
Departamento de Dermatología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Departamento de Dermatología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Rev Chil Pediatr. 2016 May-Jun;87(3):193-8. doi: 10.1016/j.rchipe.2015.10.001. Epub 2015 Nov 21.
Hidradenitis suppurativa (HS) is an inflammatory follicular skin disease. It usually presents as recurrent, deep nodules in flexural apocrine gland bearing areas. It appears mainly in women, in the second and third decade of life.
To present 2 cases of patients with prepuberal HS.
CASE 1: A 10-year old female, Tanner stage I-II and obesity. History of 4 months of evolution with bilateral recurrent groin lesions that occasionally drain pus; HS Hurley stage i was diagnosed, and topical antibiotics and nutritional management were prescribed, with a good response.
CASE 2: A 10 years old female, Tanner stage I-II and obesity. Since the age of 6 years, recurrent episodes of lesions in the inner side of the left thigh were observed, and multiple antibiotics with poor response were prescribed. HS Hurley stage i was diagnosed, and photodynamic therapy and nutritional management were used, with good response.
The etiology of HS is unclear. Usually the presentation at early age is associated with a family history and more extensive compromise in the future. Treatment is difficult and depends on each case and severity.
化脓性汗腺炎（HS）是一种炎症性毛囊皮肤疾病。它通常表现为在有顶泌汗腺的屈侧部位反复出现的深部结节。主要发生于二三十岁的女性。
介绍2例青春期前化脓性汗腺炎患者。
病例1：一名10岁女性，坦纳分期为I-II期且肥胖。有4个月的病史，双侧腹股沟反复出现病变，偶尔有脓液流出；诊断为HS Hurley I期，给予局部抗生素和营养管理，效果良好。
病例2：一名10岁女性，坦纳分期为I-II期且肥胖。自6岁起，左大腿内侧反复出现病变，曾使用多种抗生素但效果不佳。诊断为HS Hurley I期，采用光动力疗法和营养管理，效果良好。
HS的病因尚不清楚。通常在早年发病与家族史有关，且未来病情可能更广泛。治疗困难，取决于具体病例和严重程度。
