Ann Ital Chir. 2023 May 8;12:S2239253X23038306.
Hidradenitis suppurativa is a disease with underestimated incidence, consequences and treatment difficulty. Regarded as a minor illness, for the patient it is disabling physically and socially, and for the doctor it is a challenge in choosing the appropriate treatment. We present the case of a 28-year-old man who presented with an advanced and persistent form of hidradenitis treated in a general surgery department. Solving the case combined conservative and surgical treatment (wide excisions, plasties with fasciocutaneous superior gluteal artery perforator flap, thoracodorsal artery perforator flap, free anterolateral thigh flap). This case illustrates the problems raised by a seemingly trivial disease. KEY WORDS: Fasciocutaneous Superior Gluteal Artery Perforator Flap, Follicular Occlusion, Free Anterolateral Thigh Flap, Hidradenitis Suppurativa, Skin Ulcer, Skin Fold, Thoracodorsal Artery Perforator Flap.
化脓性汗腺炎的发病率、后果和治疗难度都被低估了。这种疾病被认为是小病，但实际上它会给患者的身体和社交带来严重影响，对医生来说，选择合适的治疗方法也是一个挑战。我们报告了一例 28 岁男性化脓性汗腺炎的病例，他的病情处于晚期且持续存在，在普通外科接受了治疗。该病例通过联合保守和手术治疗（广泛切除、带阔筋膜张肌的臀上动脉穿支皮瓣成形术、胸背动脉穿支皮瓣游离术、游离股前外侧皮瓣）得到解决。这个病例说明了看似微不足道的疾病所带来的问题。
阔筋膜张肌的臀上动脉穿支皮瓣成形术、毛囊闭锁三联征、游离股前外侧皮瓣、化脓性汗腺炎、皮肤溃疡、皮肤褶皱、胸背动脉穿支皮瓣游离术。
