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III期化脓性汗腺炎手术治疗后妊娠1例罕见病例。

A Rare Case of Pregnancy After Surgical Treatment for Stage III Hidradenitis Suppurativa.

作者信息

Nalla Sanjana D, Kurakula Sowjanya, Nallur Siddaraju Maheshwari

机构信息

Medical School, Lake Erie College of Osteopathic Medicine, Erie, USA.

Obstetrics and Gynecology, Lifeline Medical Associates, Edison, USA.

出版信息

Cureus. 2023 Sep 16;15(9):e45370. doi: 10.7759/cureus.45370. eCollection 2023 Sep.

DOI:10.7759/cureus.45370
PMID:37849568
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10577607/
Abstract

Hidradenitis suppurativa is a chronic inflammatory skin condition primarily affecting areas with apocrine glands. It commonly manifests as painful nodules, abscesses, and sinus tracts, significantly impacting the patient's well-being. In this report, we discuss a case of a 32-year-old pregnant woman with Hurley stage III hidradenitis suppurativa who had undergone surgical reconstruction of the vulva before conception. The patient underwent a cesarian section and received topical treatment for her lesions near the genitalia. The importance of early identification, a collaborative approach involving multiple specialists, and individualized treatment strategies for managing this debilitating condition during pregnancy are emphasized in this case study.

摘要

化脓性汗腺炎是一种慢性炎症性皮肤病,主要影响大汗腺分布区域。它通常表现为疼痛性结节、脓肿和窦道,严重影响患者的健康。在本报告中,我们讨论了一例32岁的怀孕女性,她患有Hurley III期化脓性汗腺炎,在怀孕前接受了外阴手术重建。该患者接受了剖宫产,并对其生殖器附近的病变进行了局部治疗。本病例研究强调了早期识别、多专科协作方法以及针对孕期管理这种使人衰弱疾病的个体化治疗策略的重要性。

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A Rare Case of Pregnancy After Surgical Treatment for Stage III Hidradenitis Suppurativa.III期化脓性汗腺炎手术治疗后妊娠1例罕见病例。
Cureus. 2023 Sep 16;15(9):e45370. doi: 10.7759/cureus.45370. eCollection 2023 Sep.
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Hidradenitis Suppurativa at an Uncommon Site: A Review of Its Clinical Features, Diagnostic Difficulties, and Management.罕见部位的化脓性汗腺炎:临床特征、诊断难点及治疗综述
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本文引用的文献

1
Impact of Pregnancy on Hidradenitis Suppurativa Disease Course: A Systematic Review and Meta-Analysis.妊娠对化脓性汗腺炎疾病进程的影响:系统评价和荟萃分析。
Dermatology. 2022;238(2):260-266. doi: 10.1159/000517283. Epub 2021 Aug 17.
2
Hidradenitis Suppurativa: Where We Are and Where We Are Going.化脓性汗腺炎:现状与未来。
Cells. 2021 Aug 15;10(8):2094. doi: 10.3390/cells10082094.
3
Adverse pregnancy and maternal outcomes in women with hidradenitis suppurativa.化脓性汗腺炎女性的不良妊娠和母体结局
J Am Acad Dermatol. 2022 Jan;86(1):46-54. doi: 10.1016/j.jaad.2021.06.023. Epub 2021 Jun 11.
4
Menses, pregnancy, delivery, and menopause in hidradenitis suppurativa: A patient survey.化脓性汗腺炎中的月经、妊娠、分娩及绝经:一项患者调查
Int J Womens Dermatol. 2020 Jul 10;6(5):368-371. doi: 10.1016/j.ijwd.2020.07.002. eCollection 2020 Dec.
5
Clinical Epidemiology and Management of Hidradenitis Suppurativa.《化脓性汗腺炎的临床流行病学和管理》
Obstet Gynecol. 2021 Apr 1;137(4):731-746. doi: 10.1097/AOG.0000000000004321.
6
Medical and Surgical Management of Hidradenitis Suppurativa: A Review of International Treatment Guidelines and Implementation in General Dermatology Practice.化脓性汗腺炎的医学和手术治疗:国际治疗指南综述及在普通皮肤科实践中的应用。
Dermatology. 2020;236(5):393-412. doi: 10.1159/000507323. Epub 2020 May 14.
7
Retrospective cohort study of pregnancy outcomes in hidradenitis suppurativa.化脓性汗腺炎妊娠结局的回顾性队列研究
Br J Dermatol. 2020 Nov;183(5):945-947. doi: 10.1111/bjd.19155. Epub 2020 Jun 10.
8
Presentation and surgical management of hidradenitis suppurativa of the breast during pregnancy: A case report.妊娠期乳腺化脓性汗腺炎的临床表现及手术治疗:1例病例报告
Int J Surg Case Rep. 2018;51:21-24. doi: 10.1016/j.ijscr.2018.08.013. Epub 2018 Aug 13.
9
Management of hidradenitis suppurativa in pregnancy.妊娠期化脓性汗腺炎的管理。
J Am Acad Dermatol. 2017 May;76(5):979-989. doi: 10.1016/j.jaad.2016.10.032. Epub 2016 Dec 29.
10
Hidradenitis suppurativa.化脓性汗腺炎。
Best Pract Res Clin Obstet Gynaecol. 2014 Oct;28(7):1013-27. doi: 10.1016/j.bpobgyn.2014.07.012. Epub 2014 Aug 1.