Ricardo Sánchez; Magdalena Vola; Julio Magliano; Caroline Agorio

Authors

Ricardo Sánchez Felix Bulnes Cerda Hospital, Santiago de Chile, Chile
Magdalena Vola Clinical Hospital Dr. Manuel Quintela, Montevideo, Uruguay
Julio Magliano Clinical Hospital Dr. Manuel Quintela, Montevideo, Uruguay
Caroline Agorio Clinical Hospital Dr. Manuel Quintela, Montevideo, Uruguay

Keywords:

secondary intention healing, surgery, hidradenitis suppurativa

Abstract

Hidradenitis suppurativa is a chronic, recurrent inflammatory disease that compromises the skin with apocrine glands in armpits, inter and submammary, inguinal, genital and perineal areas. Overall prevalence has been estimated around 1% of the population.The disease has a significant negative impact on the quality of life of those affected compared to the general population. In advanced stages, in which medical therapy is insufficient, the dermatologist must determine what type of surgical approach to perform considering different alternatives, providing good functional and aesthetic results. We present the case of a patient with hidradenitis suppurativa stage III in who besides medical measures, extensive surgery and healing by second intention have been used obtaining an excellent curative, functional and an acceptable aesthetic result.

Author Biographies

Ricardo Sánchez, Felix Bulnes Cerda Hospital, Santiago de Chile, Chile

Doctor Dermatologist

Magdalena Vola, Clinical Hospital Dr. Manuel Quintela, Montevideo, Uruguay

Dermatologist, Assistant Professor, Chair of Dermatology, University of the Republic

Julio Magliano, Clinical Hospital Dr. Manuel Quintela, Montevideo, Uruguay

Dermatologist, Assistant Professor, Chair of Dermatology, University of the Republic

Caroline Agorio, Clinical Hospital Dr. Manuel Quintela, Montevideo, Uruguay

Dermatologist, Assistant Professor, Chair of Dermatology, University of the Republic

References

I. Jemec GB. Hidradenitis suppurativa. N Engl J Med 2012;366:158-164.

II. Margesson L, Danby F. Hidradenitis suppurativa. Best Pract Res Clin Obstet Gynaecol 2014;28:1013-1027.

III. Revuz J, Canoui-Poitrine F, Wolkenstein P, Viallete C, et ál. Pre-valence and factors associated with hidradenitis suppurativa: results from two case-control studies. J Am Acad Dermatol2008;59:596-601.

IV. Matusiak Ł, Bieniek A, Szepietowski JC. Hidradenitis suppurati-va markedly decreases quality of life and professional activity. J Am Acad Dermatol 2010;62:706-708.

V. Sartorius K, Emtestam L, Jemec GB, Lapins J. Objective scoring of hidradenitis suppurativa reflecting the role of tobacco smo-king and obesity. Br J Dermatol 2009;161:831-839.

VI. Vazquez BG, Alikhan A, Weaver AL, Wetter DA, et ál. Incidence of Hidradenitis Suppurativa and Associated Factors: A Popula-tion-Based Study of Olmsted County, Minnesota. J Invest Derm2013;133:97-103.

VII. Mortimer PS, Lunniss PJ. Hidradenitis suppurativa. J R Soc Med2000;93:420-422.

VIII. Hurley HJ. Axillary hyperhidrosis, apocrine bromhidrosis, hi-dradenitis suppurative, and familial benign pemphigus: Sur-gical approach. En: Roenigk RK, Roenigk HJ, eds. Dermatolo-gic surgery. Principles and practice. New York: Marcel Dekker, 1989:717-743.

IX. Kohorst J, Kimball A, Davis M. Systemic associations of hidra-denitis suppurativa. J Am Acad Dermatol 2015;73:27-35.

X. Martorell A, García FJ, Jiménez-Gallo D, Pascual JC, et ál. Actua-lización en hidradenitis supurativa (II): aspectos terapéuticos. Actas Dermosifiliogr 2015;106:716-724.

XI. Zouboulis CC, Desai N, Emtestam L, Hunger RE, et ál. European S1 guideline for the treatment of hidradenitis suppurativa/acne inversa. J Eur Acad Dermatol Venereol 2015;29:619-644.

XII. Danby F, Hazen P, Boer J. New and traditional surgical approaches to hidradenitis suppurativa. J Am Acad Dermatol2015;73:62-65.

XIII. Lavieri A, Sehtman A, Greco C, Acevedo A. Otra mirada hacia la hidradenitis supurativa: cuando las terapias de tercera lí-nea se convierten en la primera indicación. Dermatol Argent2016;22:96-108.

XIV. Ellis LZ. Hidradenitis suppurativa: Surgical and other manage-ment techniques. Dermatol Surg 2012;38:517-536.

XV. Bieniek A, Matusiak Ł, Chlebicka I, Szepietowski JC. Secondary intention healing in skin surgery: Our own experience and ex-panded indications in hidradenitis suppurativa, rhinophyma and non-melanoma skin cancers. J Eur Acad Dermatol Venereol 2013;27:1015-1021.