Hessam S, Bechara F G
Klinik für Dermatologie und Phlebologie, Katharinen-Hospital Unna, Unna, Deutschland.
Klinik für Dermatologie, Venerologie und Allergologie, St. Josef-Hospital, Klinik der Ruhr-Universität Bochum, Gudrunstr. 56, 44791, Bochum, Deutschland.
Hautarzt. 2020 Apr;71(4):256-262. doi: 10.1007/s00105-020-04556-9.
Hidradenitis suppurativa/acne inversa (HS/AI) is a chronic inflammatory skin disease. Several studies showed that perianal, perineal and gluteal involvement is more common in men. Axillary, submammary and inguinal localizations seem to be more prevalent in women. Involvement of the genitoanal region is associated with a higher reduced quality of live and sexual health compared to other locations. Moreover HS/AI in the genitoanal region can lead to serious complications. The knowledge of perianal fistula formation, pubogenital lymphedema and squamous cell carcinoma, which are three of the most severe complications, is critical for adequate treatment.
化脓性汗腺炎/反向性痤疮（HS/AI）是一种慢性炎症性皮肤病。多项研究表明，肛周、会阴和臀部受累在男性中更为常见。腋窝、乳房下和腹股沟部位的病变在女性中似乎更为普遍。与其他部位相比，生殖肛门区域受累与生活质量和性健康下降程度更高有关。此外，生殖肛门区域的HS/AI可导致严重并发症。了解肛周瘘管形成、耻骨生殖器淋巴水肿和鳞状细胞癌这三种最严重的并发症，对于充分治疗至关重要。
