Although a number of different reconstructive techniques have been described for the treatment of axillary skin defects, split-thickness skin grafting continues to be the most common surgical modality. Here, we present our recent experience of using split-thickness skin grafts together with negative-pressure dressings for the management of defects following wide surgical excision of severe hidr...

This case illustrates the rare association between hidradenitis suppurativa (HS) and Dowling-Degos disease (DDD). Furthermore the association of HS, DDD and multiple epidermal cysts has not to our knowledge been described before, but their coexistence in the same patient is likely to reflect the same follicular anomaly. It is possible that a single underlying defect of follicular proliferation ...

Three cases of androgen-dependent disease in females with myotonic dystrophy are described. Serum androgens in individuals affected by myotonic dystrophy are known to be lower on average than in normal controls. Despite this these three females developed diseases that are androgen dependent, including acne, hidradenitis suppurativa, androgenetic alopecia and keratosis pilaris. These cases suppo...

This issue begins with Australian research showing that wearing superfine merino woollen clothing may help manage children with atopic dermatitis. Researchers from the US have reported that patients with hidradenitis suppurativa have changes in the expression of genes encoding enzymes involved in sphingolipid metabolic pathways. Research from Queensland reports on patients treated with diphenyl...

'Erdohazi M, Newman RL. Aluminium hydroxide granuloma. Br Med 7 1971 ;iii:621-3. 2 Savage J. Aluminium hydroxide granuloma. Proc Roy Soc Med 1973;66: 984-5. 3 Morgan WP, Leicester G. The role of depilation and deodorants in hidradenitis suppurativa. Arch Dermatol 1982;118:101-2. 4 Lenz TR. Foreign-body granuloma caused by jet injection of tetanus toxoid. Rocky Mountain MedicalJournal 1966;63 :4...

Apocrine acne, otherwise known as hidradenitis suppurativa, is a chronic inflammatory scarring disease affecting the apocrine gland-bearing skin. We present a case of a 34-year-old woman with severe vulval apocrine acne who was successfully treated initially with prednisolone and then maintained on long-term isotretinoin. This case indicates that long-term treatment with isotretinoin may be mor...