Katzman Ju Hee, Tahmasbi Maryam, Ghayouri Masoumeh, Nanjappa Sowmya, Li Michael C, Greene John
Infectious Disease, Moffitt Cancer Center, Tampa, USA.
Pathology and Cell Biology, University of South Florida Morsani College of Medicine, Tampa, USA.
Cureus. 2021 Feb 22;13(2):e13483. doi: 10.7759/cureus.13483.
Hidradenitis suppurativa (HS) is a devastating and disfiguring disease of the skin involving the terminal follicular epithelium within the apocrine-gland-bearing skin. We present an interesting case of a 58-year-old female who presented with a 10-year history of refractory HS of the gluteal, perineal, perianal, and groin region. She had been chronically treated with multiple antibiotics in the past with no improvement. The patient subsequently underwent surgical local excision with complex closure. Medical management alone may not be optimal, especially in refractory disease. Early and aggressive surgical intervention and interdisciplinary approach are needed for patients with chronic and advanced stage of HS.
化脓性汗腺炎(HS)是一种累及顶泌汗腺皮肤内终末毛囊上皮的、具有破坏性且毁容性的皮肤疾病。我们报告了一例有趣的病例,一名58岁女性,患有臀、会阴、肛周和腹股沟区域难治性HS长达10年。她过去长期接受多种抗生素治疗但无改善。该患者随后接受了手术局部切除及复杂缝合。仅药物治疗可能并非最佳选择,尤其是对于难治性疾病。对于慢性和晚期HS患者,需要早期积极的手术干预和多学科方法。