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化脓性汗腺炎:诊疗的基本考量:一篇叙述性综述

Hidradenitis suppurativa: Basic considerations for its approach: A narrative review.

作者信息

Anduquia-Garay Felipe, Rodríguez-Gutiérrez María Manuela, Poveda-Castillo Ingrith Tatiana, Valdes-Moreno Pedro Luis, Agudelo-Rios Diego Alexander, Benavides-Moreno Juan Sebastián, Lozada-Martínez Ivan David, Bolaño-Romero Maria Paz, Borraez-Segura Bernardo, Rahman Sabrina

机构信息

Future Surgeons Chapter, Colombian Surgery Association, Bogotá, Colombia.

School of Medicine, Universidad Tecnológica de Pereira, Pereira, Colombia.

出版信息

Ann Med Surg (Lond). 2021 Aug 5;68:102679. doi: 10.1016/j.amsu.2021.102679. eCollection 2021 Aug.

Abstract

Hidradenitis suppurativa is a chronic and debilitating skin disease, whose lesions can range from inflammatory nodules to abscesses and fistulas in the armpits, groin, perineum, inframammary region. Diagnosis can be confused with a large number of clinical pictures, and although studies on hidradenitis suppurativa are not so scarce in the literature, doctors are often unaware of this disease and therefore its diagnosis is often late. Pharmacological treatment ranges from retinoids to immunosuppression and radiation therapy, and surgical treatment ranges from incision and drainage to more complete excisions and laser therapies. Hidradenitis suppurativa is a disease seen and treated mainly by dermatologists and general surgeons, however, it is necessary for general practitioners to have basic knowledge about this entity, as they are the first line of care in the health system.

摘要

化脓性汗腺炎是一种慢性且使人衰弱的皮肤病,其皮损范围从炎性结节到腋窝、腹股沟、会阴、乳房下区域的脓肿和瘘管。其诊断可能与大量临床症状相混淆,尽管关于化脓性汗腺炎的研究在文献中并不少见,但医生往往不了解这种疾病,因此其诊断往往较晚。药物治疗范围从维甲酸类到免疫抑制和放射治疗,手术治疗范围从切开引流到更彻底的切除和激光治疗。化脓性汗腺炎主要由皮肤科医生和普通外科医生诊治,然而,全科医生有必要对这种疾病有基本的了解,因为他们是医疗系统中的一线医护人员。

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本文引用的文献

1
Diagnosis and management of hidradenitis suppurativa in women.女性化脓性汗腺炎的诊断与治疗。
Am J Obstet Gynecol. 2021 Jan;224(1):54-61. doi: 10.1016/j.ajog.2020.09.036. Epub 2020 Sep 24.
2
Pain management in hidradenitis suppurativa and a proposed treatment algorithm.化脓性汗腺炎的疼痛管理及治疗方案建议
J Am Acad Dermatol. 2021 Jul;85(1):187-199. doi: 10.1016/j.jaad.2020.09.039. Epub 2020 Sep 17.
3
Emerging medical treatments for hidradenitis suppurativa.用于治疗化脓性汗腺炎的新兴医学疗法。
J Am Acad Dermatol. 2020 Aug;83(2):554-562. doi: 10.1016/j.jaad.2020.04.009. Epub 2020 Apr 11.
4
Hidradenitis suppurativa.化脓性汗腺炎。
Nat Rev Dis Primers. 2020 Mar 12;6(1):18. doi: 10.1038/s41572-020-0149-1.

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