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Clinical Image - International Journal of Clinical & Medical Images (2024) Volume 11, Issue 3
Author(s): El Bahri Abdessamad1,2,3,4*, Taoufik nassim sabah5, Mohammed Alami1, Ahmed Ameur1
1Urology Department of Military Instruction Hospital Mohamed V, Rabat, Morocco
2Faculty of Medicine and Pharmacy, Fez, Morocco
3Sidi Mohamed Ben Abdallah University, Fez, Morocco
4Mohamed V University, Rabat, Morocco
5Chirurgie Reparatrice Et Plastique Department of Avicenne Military Hospital, Marrakech, Morocco
Received: 03 November 2023, Manuscript No. ijcmi-23-119180; Editor assigned: 06 November 2023, Pre QC No. P-119180; Reviewed: 28 December 2023, QC No. Q-119180; Revised: 15 March 2024, Manuscript No. R-119180; Published: 23 March 2024, DOI:10.4172/2376-0249.1000950
Citation: Abdessamad ElB. (2024) Hidradenitis Suppurativa: A Rare Clinical Image. Int J Clin Med Imaging 11: 950.
Copyright: © 2024 Abdessamad ElB. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Hidradenitis suppurativa, also known as acne inversa, is a chronic, recurrent, inflammatory and suppurative dermatosis. It was first described by Velpeau in 1839, then by Verneuil in 1854 [1]. Lesions mainly occur in anatomical areas rich in apocrine glands: inguinal, genital, perianal, axillary, inter- or sub-mammary regions. The clinical pictures are multiple: intermittent or continuous minor and major forms. Patients’ quality of life is generally impaired. The etiopathogenesis of the disease remains poorly elucidated, but appears to be multifactorial, involving hormonal, genetic and immunological factors [2]. The disease evolves chronically, with flare-ups causing painful inflammatory swellings and fistulas oozing malodorous pus. It is a breeding ground for squamous cell cancers of the perineal and genital regions. We present here the case of a 46-year-old female patient with a history of smoking and type 2 diabetes, followed up for Hidradenitis suppurativa of perineo-gluteal and genital localization evolving for 18 years and irregularly treated with oral antiseptics and cyclins. A CT scan of the pelvis showed infiltrative plaque-like lesions of the skin and subcutaneous tissue of the gluteal, perianal and external genitalia. A suppurative collection in the left buttock with fistulous tracts. The patient underwent incision of the pregnant lesion with drainage of multiple pus pockets, and biopsy specimens were taken. The anatomopathological result was in favor of inflammatory involvement with no signs of malignancy. Our patient subsequently benefited from antibiotic therapy based on protected amoxicillin-acid and quinolones, combined with local care and antiinflammatories. This management improved the patient’s suppurative and painful condition, and he was then referred to the plastic surgeon for possible extensive excision surgery.
Suppurative hidradenitis; Clinical diagnosis; Treatment
The authors received no financial support for the research, authorship, and/or publication of this article.
The authors declare no conflict or competing interests.
[1] Lipsker D, Severac F, Freysz M, Sauleau E and Boer J, et al. (2016). The ABC of hidradenitis suppurativa: A validated glossary on how to name lesions. Dermatol 232(2): 137-142.
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[2] Saunte DML and Jemec GBE. (2017). Hidradenitis suppurativa: Advances in diagnosis and treatment. Jama 318(20): 2019-2032.
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