Alhusain Abdullah M, Almosa Abdulaziz S, Alqirnas Muhannad Q, Alissa Sami I
Plastic and Reconstructive Surgery Division, Surgery Department, Ministry of National Guards Health Affairs, King Abdullah Children's Specialist Hospital, Riyadh, Saudi Arabia.
College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
J Surg Case Rep. 2023 Jun 28;2023(6):rjad318. doi: 10.1093/jscr/rjad318. eCollection 2023 Jun.
Hidradenitis suppurativa (HS) is a chronic inflammatory disorder that is characterized by deep-seated painful nodules, classically in the intertriginous skin and apocrine gland-rich areas of the body such as the anogenital, axillary, inframammary and inguinal regions. This is a case of a 35-year-old female, who is known to have gluteal HS, she underwent neck liposuction procedure that was then complicated by anterior neck HS, which is considered as an atypical location. The patient received medical treatment with antibiotics and showed huge improvement. In addition, in patients who do not show response to medical therapy, surgical treatment is usually carried out by incising the area affected and leaving the wound open to be healed by secondary intention or covering it with a skin graft if the area is extensive.
化脓性汗腺炎(HS)是一种慢性炎症性疾病,其特征为深部疼痛性结节,典型部位是身体的褶皱皮肤和富含顶泌汗腺的区域,如肛门生殖器、腋窝、乳房下和腹股沟区域。这是一例35岁女性患者,已知患有臀部HS,她接受了颈部吸脂手术,随后并发了颈部前方HS,这被认为是一个非典型部位。患者接受了抗生素药物治疗,病情有了显著改善。此外,对于药物治疗无反应的患者,通常通过切开受影响区域进行手术治疗,若区域广泛,伤口敞开待二期愈合,或用皮肤移植覆盖。