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Hidradenitis suppurativa

Última revisão: 13 Feb 2025
Última atualização: 07 Jan 2022

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • at-risk demographic
  • history of acne vulgaris
  • recurrent disease
  • poor response to previous antibiotic therapy
  • open comedones in intertriginous (axilla, groin, perineum, or inframammary) areas
  • nodules or abscess
  • symmetrical distribution
  • sinus tracts with scarring
Detalhes completos

Outros fatores diagnósticos

  • premenstrual flare
Detalhes completos

Fatores de risco

  • obesity
  • female sex
  • smoking
  • positive family history
  • African-American
Detalhes completos

Investigações diagnósticas

Investigações a serem consideradas

  • bacterial culture
  • skin biopsy
完整详情

治疗流程

急症处理

acute abscess

持续性治疗

mild (Hurley stage I)

moderate (Hurley stage II)

severe (Hurley stage III)

撰稿人

作者

David Cassarino, MD, PhD

Consultant Dermatopathologist

Southern California Permanente Medical Group

Los Angeles Medical Center

Los Angeles

CA

Disclosures

DC declares that he has no competing interests.

Acknowledgements

Dr David Cassarino would like to gratefully acknowledge Dr Robert A. Lee, the previous contributor to this topic.

RAL declares that he has no competing interests.

Peer reviewers

David R. Adams, MD, PharmD

Associate Professor of Dermatology

Penn State Hershey Medical Center

Hershey

PA

Disclosures

DRA declares that he has no competing interests.

Ravi Ubriani, MD, FAAD

Assistant Professor of Clinical Dermatology

Columbia University

New York

NY

Declarações

RU declares that he has no competing interests.

Andrew Carmichael, MB, BS

Consultant Dermatologist

James Cook University Hospital

Middlesbrough

UK

Declarações

AC declares that he has no competing interests.

  • Hidradenitis suppurativa images
  • Diagnósticos diferenciais

    • Acne vulgaris
    • Crohn disease
    • Inverse psoriasis
    Mais Diagnósticos diferenciais
  • Guidelines

    • Hidradenitis suppurativa/acne inversa: a practical framework for treatment optimization - systematic review and recommendations from the HS ALLIANCE working group
    • Guidelines for the management of hidradenitis suppurativa (acne inversa)
    Mais Guidelines
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