Hidradenitis suppurativa is a chronic, relapsing, inflammatory disease process that primarily involves the axilla and/or inguinal region and does not manifest itself until after puberty. Typically, the process begins as a local occlusive disease of a sweat gland; secondary bacterial infection then occurs. The early stages of hidradenitis suppurativa are usually managed by the dermatologist. Onc...

Nodulocystic acne is a dermatologic disease that can result in significant damage to the skin of the face, chest, and back. Hidradenitis suppurativa is a scarring disease of the skin that causes deep cysts and abscesses on the axillae and anogenital areas. We review a case of a patient with severe nodulocystic facial acne and hidradenitis suppurativa that was treated with 2 full courses of isot...

Hidradenitis suppurativa is a chronic inflammatory skin condition associated with an increased prevalence of individual metabolic conditions such as insulin resistance, obesity, hyperlipidemia, hypertension, and with the metabolic syndrome, as a constellation of these risk factors. This places affected patients at an increased risk of early cardiovascular morbidity and mortality. Moreover, many...

Shaving and the use of chemical depilatories, deodorants, and talcum powder have been implicated in the initiation of hidradenitis suppurativa. This study compared the use of these agents in the axillae and puboinguinoperineal (hereinafter called the inguinal) region of 40 patients with hidradenitis, prior to the onset of the condition, with their use in normal age- and sex-matched controls. No...

Hidradenitis suppurativa is a chronic debilitating disorder of the skin manifested by recurrent, painful, inflammatory, subcutaneous nodules. The lesions occur most commonly in the apocrine-gland-bearing skin sites such as the axillae and inguinal regions; they cause scarring and disfigurement from the formation of multiple abscesses and fistulous tracts within the skin. We report the radiologi...

HS: hidradenitis suppurativa LC: lymphangioma circumscriptum PP: pseudoverrucous papules SCC: squamous cell carcinoma INTRODUCTION Acquired lymphangioma circumscriptum (LC), also known as localized LC, is characterized by small, clear, fluid-filled, clustered vesicles and papules that resemble a gelatinous mass of ‘‘frog spawn’’ on the surface of the skin. We present a case of genital LC associ...

Hidradenitis suppurativa is a chronic relapsing disorder of follicular occlusion that is often recalcitrant to therapy. Topical and systemic antibiotics, hormonal therapies, oral retinoids, immunosuppressant agents, and surgical treatment are some of the therapeutic alternatives used for this often recalcitrant and frequently troublesome disorder. This article reviews the pathophysiology of hid...

Involvement of the nipple-areolar complex is an infrequent area of distribution of hidradenitis suppurativa. The difficulty of this particular distribution has been encountered in the past and resulted in bilateral mastectomies. The authors describe successful treatment of a patient with hidradenitis suppurativa of the breasts and nipple-areolar complexes using breast-conserving measures. Norma...

HS: hidradenitis suppurativa IL: interleukin PAPA: pyoderma gangrenosum with pyogenic sterile arthritis and cystic acne PAPASH: pyoderma gangrenosum with pyogenic sterile arthritis, acne, and hidradenitis suppurativa PASH: pyoderma gangrenosum with cystic acne and hidradenitis suppurativa PG: pyoderma gangrenosum INTRODUCTION Pyoderma gangrenosum (PG) is a neutrophilic dermatitis, the prevalenc...

OBJECTIVE We sought to determine quality of life impairment in hidradenitis suppurativa. METHODS Questionnaires were administered to 61 patients. RESULTS Quality of life impact in hidradenitis was much greater than that of several other dermatologic conditions. LIMITATION This hospital-based population may not be representative. CONCLUSION Hidradenitis is one of the most distressing con...