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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Hidradenitis Suppurativa and Pruritus Ani</title>
<author><name sortKey="Asgeirsson, Theodor" sort="Asgeirsson, Theodor" uniqKey="Asgeirsson T" first="Theodor" last="Asgeirsson">Theodor Asgeirsson</name>
<affiliation><nlm:aff id="a24071-1">Department of Surgery, Spectrum Health, Greenville, Michigan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunoo, Robert" sort="Nunoo, Robert" uniqKey="Nunoo R" first="Robert" last="Nunoo">Robert Nunoo</name>
<affiliation><nlm:aff id="a24071-2">Department of Research, Spectrum Health, Grand Rapids, Michigan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luchtefeld, Martin A" sort="Luchtefeld, Martin A" uniqKey="Luchtefeld M" first="Martin A." last="Luchtefeld">Martin A. Luchtefeld</name>
<affiliation><nlm:aff id="a24071-3">Division of Colon and Rectal Surgery, Spectrum Health, Grand Rapids, Michigan</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">22379408</idno>
<idno type="pmc">3140336</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3140336</idno>
<idno type="RBID">PMC:3140336</idno>
<idno type="doi">10.1055/s-0031-1272826</idno>
<date when="2011">2011</date>
<idno type="wicri:Area/Pmc/Corpus">000120</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000120</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Hidradenitis Suppurativa and Pruritus Ani</title>
<author><name sortKey="Asgeirsson, Theodor" sort="Asgeirsson, Theodor" uniqKey="Asgeirsson T" first="Theodor" last="Asgeirsson">Theodor Asgeirsson</name>
<affiliation><nlm:aff id="a24071-1">Department of Surgery, Spectrum Health, Greenville, Michigan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Nunoo, Robert" sort="Nunoo, Robert" uniqKey="Nunoo R" first="Robert" last="Nunoo">Robert Nunoo</name>
<affiliation><nlm:aff id="a24071-2">Department of Research, Spectrum Health, Grand Rapids, Michigan</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Luchtefeld, Martin A" sort="Luchtefeld, Martin A" uniqKey="Luchtefeld M" first="Martin A." last="Luchtefeld">Martin A. Luchtefeld</name>
<affiliation><nlm:aff id="a24071-3">Division of Colon and Rectal Surgery, Spectrum Health, Grand Rapids, Michigan</nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">Clinics in Colon and Rectal Surgery</title>
<idno type="ISSN">1531-0043</idno>
<idno type="eISSN">1530-9681</idno>
<imprint><date when="2011">2011</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<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>
</div>
</front>
</TEI>
<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Clin Colon Rectal Surg</journal-id>
<journal-title-group><journal-title>Clinics in Colon and Rectal Surgery</journal-title>
</journal-title-group>
<issn pub-type="ppub">1531-0043</issn>
<issn pub-type="epub">1530-9681</issn>
<publisher><publisher-name>Thieme Medical Publishers</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">22379408</article-id>
<article-id pub-id-type="pmc">3140336</article-id>
<article-id pub-id-type="doi">10.1055/s-0031-1272826</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Hidradenitis Suppurativa and Pruritus Ani</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Asgeirsson</surname>
<given-names>Theodor</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="a24071-1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nunoo</surname>
<given-names>Robert</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="a24071-2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Luchtefeld</surname>
<given-names>Martin A.</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="a24071-3">3</xref>
</contrib>
<aff id="a24071-1"><label>1</label>
Department of Surgery, Spectrum Health, Greenville, Michigan</aff>
<aff id="a24071-2"><label>2</label>
Department of Research, Spectrum Health, Grand Rapids, Michigan</aff>
<aff id="a24071-3"><label>3</label>
Division of Colon and Rectal Surgery, Spectrum Health, Grand Rapids, Michigan</aff>
</contrib-group>
<author-notes><corresp>Address for correspondence and reprint requests: Martin A. Luchtefeld, M.D. <institution>Division of Colon and Rectal Surgery, Spectrum Health</institution>
<addr-line>4100 Lake Dr. SE, Ste 205, Grand Rapids, MI 49546</addr-line>
<email>Mluchtefeld@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>3</month>
<year>2011</year>
</pub-date>
<volume>24</volume>
<issue>1</issue>
<fpage>71</fpage>
<lpage>80</lpage>
<permissions><copyright-statement>© Thieme Medical Publishers</copyright-statement>
</permissions>
<abstract><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>
</abstract>
<kwd-group><kwd>Hidradenitis suppurativa</kwd>
<kwd>acne inversa</kwd>
<kwd>pruritus ani</kwd>
</kwd-group>
<custom-meta-group><custom-meta><meta-name>issue-editor</meta-name>
<meta-value>Guest Editor
Gerald A. Isenberg, M.D.
</meta-value>
</custom-meta>
<custom-meta><meta-name>issue-theme</meta-name>
<meta-value>Anorectal Disease</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
</pmc>
</record>
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