Wortsman Ximena
Department of Radiology and Department of Dermatology, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Clinica Servet, Faculty of Medicine, University of Chile, Santiago, Chile.
Dermatol Clin. 2016 Jan;34(1):59-68. doi: 10.1016/j.det.2015.08.003.
Hidradenitis suppurativa is a complex disease of chronic evolution and difficult management. Imaging, particularly color Doppler ultrasound, has demonstrated a wide range of subclinical anatomic abnormalities, allowing modification of the clinical assessment of severity of the disease and therefore management of patients. Sonography supports early and more precise diagnosis and staging by providing critical objective information in real time. The richness of these data can also support assessment of the pathogenesis of the disease, allow monitoring of patients, and contribute to clinical trials. MRI can support the diagnosis of extensive anogenital and deep lesions.
化脓性汗腺炎是一种慢性进展且难以管理的复杂疾病。影像学检查,尤其是彩色多普勒超声,已显示出广泛的亚临床解剖学异常,这使得对该疾病严重程度的临床评估得以修正,从而改善患者的管理。超声检查通过实时提供关键的客观信息,支持早期且更精确的诊断和分期。这些数据的丰富性还可支持对疾病发病机制的评估、对患者的监测,并有助于开展临床试验。磁共振成像(MRI)可辅助诊断广泛的肛门生殖器及深部病变。