Document Detail


Surgical treatment of hidradenitis suppurativa.
MedLine Citation:
PMID:  11680401     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hidradenitis suppurativa is a skin disease involving the apocrine sweat glands which often becomes chronic. The aetiology is not completely known, but the mainstays of medical treatment are antibiotics, which gives temporary relief but do not essentially alter the course of the disease. We describe our results of treating 138 affected patients by radical excision of the diseased areas between 1978 and 1999. Postoperative follow-up ranges from 3 months to 21 years; we compiled data from the patients' casenotes and circulated a questionnaire, which 116 patients completed. Median age at onset of disease was 23 years and the interval before radical surgery was 10 years. Altogether 367 affected sites were excised; most cases required skin grafting. There were no serious surgical complications. In 38 patients (33%) the disease recurred to some degree, and 14 of them required further operation. Six patients had a subsequent operation to improve the aesthetic result. Ninety-six of the patients (83%) answered that they would recommend the procedure to other patients under similar circumstances. In our opinion excision and skin grafting is a valuable treatment in cases of severe hidradenitis suppurativa.
Authors:
J Bohn; H Svensson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Scandinavian journal of plastic and reconstructive surgery and hand surgery / Nordisk plastikkirurgisk forening [and] Nordisk klubb for handkirurgi     Volume:  35     ISSN:  0284-4311     ISO Abbreviation:  Scand J Plast Reconstr Surg Hand Surg     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-10-26     Completed Date:  2002-02-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8707869     Medline TA:  Scand J Plast Reconstr Surg Hand Surg     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  305-9     Citation Subset:  IM    
Affiliation:
Department of Plastic and Reconstructive Surgery, Malmö University Hospital, Malmö, Sweden. jorg.bohn@skane.se
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Follow-Up Studies
Hidradenitis Suppurativa / surgery*
Humans
Male
Postoperative Complications / epidemiology
Recurrence
Reoperation
Risk Factors
Skin Transplantation
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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