Pastor Damien, Alvarez Martinez David, Andenmatten-Trigona Béatrice, Mühlstädt Michael
Service de dermatologie et vénéréologie, Département de médecine, Hôpitaux universitaires de Genève, 1211 Genève 14.
Rev Med Suisse. 2023 Mar 29;19(820):624-629. doi: 10.53738/REVMED.2023.19.820.624.
Hidradenitis suppurativa (HS) is a chronic relapsing inflammatory disease that primarily affects the apocrine skin glands. Management options include risk factor modification, pharmacologic agents, and surgery. Many surgical management techniques exist, including incision and drainage, laser hair removal, deroofing, limited or wide local excision. Deroofing is an interesting alternative for simple superficial fistulas and potentially even for more complex lesions. Surgical treatment can be combined with drug treatment. The indication depends on a comprehensive and multidisciplinary assessment considering the severity and number of target lesions.
化脓性汗腺炎（HS）是一种主要影响顶泌汗腺的慢性复发性炎症性疾病。治疗选择包括风险因素调整、药物治疗和手术。存在许多手术治疗技术，包括切开引流、激光脱毛、去顶术、有限或广泛局部切除术。去顶术是治疗简单浅表瘘管甚至可能更复杂病变的一种有趣的替代方法。手术治疗可与药物治疗相结合。适应症取决于对目标病变的严重程度和数量进行的全面多学科评估。
