Cabete Joana, Aparício Martins Inês
Serviço de Dermatovenereologia. Hospital de Santo António dos Capuchos. Centro Hospitalar Universitário de Lisboa Central. Lisboa. Portugal.
Acta Med Port. 2023 Feb 1;36(2):133-139. doi: 10.20344/amp.18916.
Hidradenitis suppurativa is a chronic and recurrent inflammatory dermatosis characterized by the presence of inflammatory nodules and abscesses in the apocrine gland-rich areas that may progress to suppurative fistulas and scars. Despite being considered one of the dermatological conditions with the greatest impact on patient quality of life, it is often underdiagnosed. Hidradenitis suppurativa, especially in its severe forms, is associated with numerous comorbidities, so a holistic and multidisciplinary perspective is crucial for the management of these patients. The therapeutic approach is complex and challenging. The medical treatment options are diverse and must be adapted to clinical presentation and disease severity. Surgical therapy should be considered as an adjuvant to medical treatment, particularly in refractory cases and in the presence of scars or anatomical and/or functional mutilation. These recommendations reflect the main aspects of the management of the patient with hidradenitis suppurativa and are addressed to all healthcare professionals who take part in their follow-up.
化脓性汗腺炎是一种慢性复发性炎症性皮肤病，其特征是在富含顶泌汗腺的区域出现炎性结节和脓肿，并可能发展为化脓性瘘管和瘢痕。尽管它被认为是对患者生活质量影响最大的皮肤病之一，但常常被漏诊。化脓性汗腺炎，尤其是严重形式，与多种合并症相关，因此整体和多学科的观点对于管理这些患者至关重要。治疗方法复杂且具有挑战性。药物治疗选择多样，必须根据临床表现和疾病严重程度进行调整。手术治疗应被视为药物治疗的辅助手段，特别是在难治性病例以及存在瘢痕或解剖和/或功能毁损的情况下。这些建议反映了化脓性汗腺炎患者管理的主要方面，并面向所有参与其随访的医疗保健专业人员。
