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
Outros fatores diagnósticos
- premenstrual flare
Fatores de risco
- obesity
- female sex
- smoking
- positive family history
- African-American
Investigações diagnósticas
Investigações a serem consideradas
- bacterial culture
- skin biopsy
Algoritmo de tratamento
acute abscess
mild (Hurley stage I)
moderate (Hurley stage II)
severe (Hurley stage III)
Colaboradores
Autores
David Cassarino, MD, PhD
Consultant Dermatopathologist
Southern California Permanente Medical Group
Los Angeles Medical Center
Los Angeles
CA
Declarações
DC declares that he has no competing interests.
Agradecimentos
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.
Revisores
David R. Adams, MD, PharmD
Associate Professor of Dermatology
Penn State Hershey Medical Center
Hershey
PA
Declarações
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.
Referências
Principais artigos
Kim WB, Sibbald RG, Hu H, et al. Clinical features and patient outcomes of hidradenitis suppurativa: a cross-sectional retrospective study. J Cutan Med Surg. 2016;20:52-57.Texto completo Resumo
Martorell A, García-Martínez FJ, Jiménez-Gallo D, et al. An update on hidradenitis suppurativa (part I): epidemiology, clinical aspects, and definition of disease severity. Actas Dermosifiliogr. 2015;106:703-715.Texto completo Resumo
Sabat R, Jemec GBE, Matusiak Ł, et al. Hidradenitis suppurativa. Nat Rev Dis Primers. 2020 Mar 12;6(1):18. Resumo
Martorell A, García FJ, Jiménez-Gallo D, et al. Update on hidradenitis suppurativa (part II): treatment. Actas Dermosifiliogr. 2015;106:716-724.Texto completo Resumo
Kimball AB, Okun MM, Williams DA, et al. Two phase 3 trials of adalimumab for hidradenitis suppurativa. N Engl J Med. 2016;375:422-34.Texto completo Resumo
Ingram JR, Woo PN, Chua SL, et al. Interventions for hidradenitis suppurativa. Cochrane Database Syst Rev. 2015;(10):CD010081.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Acne vulgaris
- Crohn disease
- Inverse psoriasis
Mais Diagnósticos diferenciaisDiretrizes
- 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)
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