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Hidradenitis Suppurativa and Pruritus Ani

Identifieur interne : 004E47 ( Main/Exploration ); précédent : 004E46; suivant : 004E48

Hidradenitis Suppurativa and Pruritus Ani

Auteurs : Theodor Asgeirsson [États-Unis] ; Robert Nunoo [États-Unis] ; Martin A. Luchtefeld [États-Unis]

Source :

Clinics in Colon and Rectal Surgery [ 1531-0043 ] ; 2011.

RBID : PMC:3140336

Abstract

Hidradenitis suppurativa (HS) is a chronic debilitating disorder that can affect any areas bearing apocrine glands. Perineal HS is associated with high morbidity compared with other anatomic regions. Early-stage disease may mimic various other forms of cutaneous disorders, but as HS progresses pathognomonic skin changes occur. Clinical stage can guide the therapeutic approach, but the lowest recurrence rate is obtained by removing all involved skin and subcutaneous fat. Pruritus ani is a complex disease with a multitude of etiologies. Its management can be frustrating and disappointing for the patient and doctor alike. The key is to start with simple treatment options focusing on perianal hygiene and avoidance of the most common offending foods and beverages. If these measures fail, topical medications should be attempted before graduating to perianal injections of methylene blue as a last resort.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140336

DOI: 10.1055/s-0031-1272826
PubMed: 22379408
PubMed Central: 3140336

Affiliations:

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p>Hidradenitis suppurativa (HS) is a chronic debilitating disorder that can affect any areas bearing apocrine glands. Perineal HS is associated with high morbidity compared with other anatomic regions. Early-stage disease may mimic various other forms of cutaneous disorders, but as HS progresses pathognomonic skin changes occur. Clinical stage can guide the therapeutic approach, but the lowest recurrence rate is obtained by removing all involved skin and subcutaneous fat. Pruritus ani is a complex disease with a multitude of etiologies. Its management can be frustrating and disappointing for the patient and doctor alike. The key is to start with simple treatment options focusing on perianal hygiene and avoidance of the most common offending foods and beverages. If these measures fail, topical medications should be attempted before graduating to perianal injections of methylene blue as a last resort.</p>
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Hidradenitis Suppurativa and Pruritus Ani

Hidradenitis Suppurativa and Pruritus Ani

Source :

Abstract

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