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Natural History, Presentation, and Diagnosis of Hidradenitis Suppurativa.
MedLine Citation:
PMID:  25188458     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The diagnosis of hidradenitis suppurativa (HS) is based on a characteristic history and physical exam. The anatomic sites of involvement include the axillae (most common), groin, and buttocks, and the perianal, perineal, and mammary regions. Initially, HS manifests with open comedones (usually with two or more "heads") and tender subcutaneous acneiform papules. Without intervention, the natural history of HS is chronic and progressive. More painful subcutaneous nodules form, which rupture and drain a thick, mucopurulent, foul-smelling fluid. Later, sinus tracts form, and, over time, ropelike fibrotic subcutaneous scarring occurs, which can lead to disabling contractures of the affected limbs. Clinically, the severity of disease is classified using the Hurley staging system, which provides guidance for choosing among treatment options.
Authors:
Robert G Micheletti
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Seminars in cutaneous medicine and surgery     Volume:  33     ISSN:  1085-5629     ISO Abbreviation:  Semin Cutan Med Surg     Publication Date:  2014 Jun 
Date Detail:
Created Date:  2014-9-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9617260     Medline TA:  Semin Cutan Med Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  S51-S53     Citation Subset:  -    
Copyright Information:
2014 published by Frontline Medical Communications.
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