Rasker S P, Welvaart K
Academisch Ziekenhuis, afd. Heelkunde, Leiden.
Ned Tijdschr Geneeskd. 1997 Jul 26;141(30):1484-7.
An obese woman aged 18 years had been suffering for several years from axillary hidradenitis suppurativa. Repeated incision and drainage never gave lasting results and the patient became socially isolated. Hidradenitis suppurativa is a chronic suppurative inflammation of skin areas containing apocrine glands: the skin of the axillae, of the breasts and of the anogenital region. Treatment in the first instance consists of general hygienic measures. Pharmaceuticals used include antibiotics, antiandrogens and oestrogens. Surgery is performed when the condition is at an advanced stage, with cellulitis and scarring; ample excision is necessary to reduce the risk of recurrence. CO2 laser therapy is a new method of treatment that shows good results in incipient and advanced lesions.
一名18岁的肥胖女性患有腋窝化脓性汗腺炎数年。反复切开引流从未取得持久效果，患者因此在社交上变得孤立。化脓性汗腺炎是一种发生于含有顶泌汗腺的皮肤区域的慢性化脓性炎症，这些区域包括腋窝、乳房和肛门生殖器区域的皮肤。首先的治疗方法包括一般卫生措施。使用的药物包括抗生素、抗雄激素和雌激素。当病情处于晚期，伴有蜂窝织炎和瘢痕形成时，则进行手术治疗；需要进行充分切除以降低复发风险。二氧化碳激光治疗是一种新的治疗方法，在早期和晚期病变中均显示出良好效果。
