Anderson B B, Cadogan C A, Gangadharam D
J Natl Med Assoc. 1982 Oct;74(10):999-1003.
Hidradenitis suppurativa is an infrequent inflammatory process that begins as an infection in the apocrine sweat glands. From an initial focus, the infection spreads to involve other tissues of the skin and adjacent structures. When inadequately treated or neglected, the disease becomes chronic with suppuration, sinus formation, invasion of adjacent organs, and occasional malignant degeneration. Social and occupational dislocations are the rule. The peak incidence of the disease is in the third and fourth decades. Blacks and women are most often affected.Our clinical experience with hidradenitis of the scrotum, perineum, and gluteal area is presented. One patient had an associated adenocarcinoma and another had osteomyelitis. All but one had neglected the disease. Emphasis is placed on early and appropriately wide excisional therapy for the disease in all its manifestations. Incision and drainage and antibiotics are of limited value and are best used as preliminaries to definitive excisional therapy.
化脓性汗腺炎是一种罕见的炎症过程，起初是顶泌汗腺感染。感染从初始病灶扩散至累及皮肤的其他组织及相邻结构。若治疗不当或被忽视，该病会发展为慢性，出现化脓、窦道形成、邻近器官受侵，偶尔还会发生恶性变。社交和职业障碍很常见。该病的发病高峰在第三和第四个十年。黑人和女性最常受累。本文介绍了我们对阴囊、会阴和臀区汗腺炎的临床经验。1例患者伴有腺癌，另1例患有骨髓炎。除1例患者外，其他患者均忽视了该病。强调针对该病的所有表现尽早进行适当的广泛切除治疗。切开引流和使用抗生素的价值有限，最好用作确定性切除治疗的前期准备。
