João Ana Luísa, Cunha Nélia, Cabete Joana
Dermatology Department, Centro Hospitalar Universitário de Lisboa Central, Lisbon, Portugal.
Skin Appendage Disord. 2021 Jun;7(4):318-321. doi: 10.1159/000514363. Epub 2021 Mar 22.
Hidradenitis suppurativa (HS) is a potentially disabling chronic inflammatory disease. The intermammary location, not clearly specified in the usual phenotypic classifications, entails significant functional and cosmetic compromise.
Eleven cases of predominantly intermammary disease with multiple fistulization and disfiguring scarring were observed at our Department between January 2016 and March 2020. They were young (mean age = 22 years) obese or overweight women, in which the medical-surgical approach has led to variable results.
DISCUSSION/CONCLUSION: Intermammary HS possibly represents a unique phenotypic presentation, likely to be fistulizing and severe. We believe that anatomo-functional considerations, which can be paralleled to pilonidal sinus disease, contribute to its pathophysiology and striking appearance, and further emphasize the importance of multidisciplinary endeavor to reduce the morbidity associated with this seemingly overlooked location.
化脓性汗腺炎（HS）是一种可能导致功能障碍的慢性炎症性疾病。乳房间部位在通常的表型分类中未明确界定，会导致严重的功能和外观损害。
2016年1月至2020年3月期间，我们科室观察到11例以乳房间疾病为主、伴有多处瘘管形成和毁容性瘢痕的病例。患者均为年轻（平均年龄22岁）的肥胖或超重女性，内科-外科联合治疗取得了不同的效果。
讨论/结论：乳房间HS可能代表一种独特的表型表现，可能会形成瘘管且病情严重。我们认为，与藏毛窦疾病类似的解剖学-功能学因素有助于其病理生理过程和显著外观的形成，并进一步强调了多学科协作对于降低与这一似乎被忽视部位相关发病率的重要性。
