ABSTRACT
La hidradenitis supurativa es una enfermedad autoinmune crónica debida a la obstrucción de un folículo piloso, que da lugar a la formación de nódulos. Se desconoce la etiología concreta. Algunos factores desencadenantes son los antecedentes familiares, la obesidad, el hábito tabáquico, la ropa ajustada y los factores hormonales e inmunológicos, entre otros. La sintomatología típica es dolor, supuración, prurito y mal olor, y puede llegar a generar cicatrices, fístulas y tunelizaciones. Las localizaciones de las lesiones típicas son en axilas, zona inguinal, perianal y zona mamaria. Cursa con brotes y no es contagiosa. Dependiendo del estadio existen diferentes tratamientos para esta. El diagnóstico se basa en una entrevista sobre los antecedentes familiares, la localización de las lesiones, las manifestaciones clínicas y la alta recurrencia de la enfermedad. Afecta a un 1% de la población mundial, con mayor incidencia a las mujeres. Objetivos: Investigar si la patología afecta a la calidad de vida de los pacientes y averiguar las repercusiones en esta. Metodología: Se realizó mediante una revisión sistemática de los últimos 5 años, tanto de la hidradenitis supurativa como de la pregunta a estudio en las siguientes bases de datos: Google Académico, PubMed, CINAHL, Web of Science, Scopus y Cochrane. Resultados: Los pacientes refieren tener una peor calidad de vida debido a síntomas de la hidradenitis supurativa, como el dolor, prurito y mal olor. Estos afectan en su vida diaria, vida laboral y relaciones sociales, entre otros. Conclusiones: Tras la búsqueda, se afirma la pregunta de estudio. La calidad de vida del paciente con hidradenitis supurativa está disminuida y deteriorada debido a los síntomas que la cursan. Además, conlleva una serie de comorbilidades tanto psicológicas como personales (AU)
Hidradenitis suppurativa is a chronic autoimmune disease due to the obstruction of a hair follicle leading to the formation of nodules. The specific etiology is unknown. Some triggers are family history, obesity, smoking, tight clothing, hormonal and immunological factors, among others. The typical symptomatology is pain, suppuration, itching, bad smell and can generate scars, fistulas and tunnels. Typical lesion locations are in the armpits, inguinal, perianal, and mammary areas. It has outbreaks and is not contagious. Depending on the stage there are different treatments for it. The diagnosis is based on an interview on the family history, location of the lesions, clinical manifestations and high recurrence of the disease. It affects 1% of the world population, with a higher incidence in women. Objectives Investigate whether the pathology affects the quality of life of patients and find out the repercussions on it. Methods: It was carried out through a systematic review of the last five years of both hidradenitis suppurativa and the question under study in the following databases: Google Scholar, PubMed, CINAHL, Web of Science, Scopus and Cochrane Results: Patients reported having a poorer quality of life due to symptoms of hidradenitis suppurativa such as pain, itching and a bad smell. These affect their daily life, work life, social relationships, among others Conclusions: After the search, the study question is affirmed. The quality of life of the patient with hidradenitis suppurativa is diminished and deteriorated due to the symptoms that occur. In addition, it carries a series of psychological and personal comorbidities (AU)
Subject(s)
Humans , Hidradenitis Suppurativa/psychology , Quality of Life , Severity of Illness Index , Risk FactorsABSTRACT
Objective:To investigate the application value and effect of surgical removal and setons abscess drainage in moderate and severe acne inverse.Methods:A retrospective case study of 4 patients (3 males and 1 female with an average of onset of 28 years) with acne inverse at gluteal and perianal area in the Qixia Traditioal Chinese Medical Hospital of Shandong province between June 2016 and August 2020, The operative technique was based on the complete excision of the entire diseased skin and subcutaneous fatty tissue, down to the muscular fascia. The cavity was explored using a probe, two setons were placed in each of the fistula tracts, and the wound were covered with absorptive dressing.Results:All the wounds in 4 patients healed primarily and showed no recurrence after surgery, execpt for one patient who did not take supine position in time after operation which resulted in more bleeding in a short time. The other patients recovered well. The patients were followed up for 6 months without affecting the anal skin function, skin lesions and recurrence.Conclusions:The technique of wide surgical excision and setons abscess drainage is an effective method for moderate and severe acne inverse.
ABSTRACT
Introducción: el síndrome de oclusión folicular está compuesto por acné inverso, acné conglobata y la fístula pilonidal (triada); cuando se asocia la foliculitis disecante del cuero cabelludo entonces constituye la tétrada de oclusión folicular. El acné inverso es una enfermedad supurativa, crónica e invalidante, cuyas características clínicas son la presencia de comedones con múltiples aberturas que vinculan dos o más folículos, abscesos con comunicaciones epitelizadas, y sinus drenantes en regiones con glándulas apocrinas. La génesis de estas afecciones es básicamente genética con expresión dermatológica. Objetivo: caracterizar física e histopatológicamente a los pacientes que padecen de síndrome de oclusión folicular, así como, los resultados del tratamiento quirúrgico de la fístula pilonidal en este trastorno. Método: estudio del comportamiento de la fístula pilonidal en el síndrome de oclusión folicular en 37 enfermos con síndrome de oclusión folicular en Hospital Lenin. Se utilizó la exéresis local de las fístulas pilonidales y perianales, esta exéresis se extendió por el tejido celular subcutáneo hasta la facia. Luego la zona se reparó con injerto libre de piel. Resultados: la fístula pilonidal se presentó en cuatro pacientes de los estudiados con largos períodos evolutivos, los cuales fueron tratados con autoinjerto libre de piel. La hiperqueratosis, así como, la perifoliculitis fueron los cambios histopatológicos de mayor relevancia. Conclusiones: la fístula pilonidal es de difícil manejo en el curso del síndrome de oclusión folicular y solo encuentra solución en el tratamiento quirúrgico con autoinjerto libre de piel.
Introduction: follicular occlusive syndrome includes inverse acne, acne conglobata and pilonidal fistula (triad); when it is associated to the dissecting folliculitis of the scalp then it constitutes the tetrad of follicular occlusion. Reverse acne is a suppurative, chronic and invalidating disease. Its clinical features are the presence of comedones with multiple openings that link two or more follicles, abscesses with epithelial communications, and draining sinuses in regions with apocrine glands. The genesis of these affections is basically genetic with dermatological expression. Objective: to describe physically and histopathologically the patients with follicular occlusion syndrome, as well as the results of surgical treatment of pilonidal fistula in this disorder. Method: the study is on the prevalence of pilonidal fistula in follicular occlusion syndrome in 37 patients with follicular occlusion syndrome. The local excision of the pilonidal and perianal fistulas was performed, this exeresis extended by the subcutaneous cellular tissue until the facia. The area was then repaired with a skin-free graft. Results: four patients had the pilonidal fistula, with long periods of evolution, who were treated with autograft of skin. Hyperkeratosis, as well as, perifolliculitis were the most relevant histopathological changes. Conclusion: the pilonidal fistula is difficult for follicular occlusion syndrome management and only the surgical treatment is the most suitable .
ABSTRACT
Hidradenitis suppurativa (HS) is a chronic cutaneous inflammatory disease. Few reports have been published on the influence of race, ethnicity, and other patient demographic factors as determinants of care for HS. Data from the 2005 to 2011 National Ambulatory Medical Care Survey (NAMCS) and the National Hospital Ambulatory Medical Care Survey (NHAMCS) were analyzed for to assess factors that were predictive of outpatient visits for HS. Logistic regression controlling for demographic and other factors showed several disparities. African Americans are more likely to experience clinic visits for HS than Whites (Odds Ratio (OR) 2.00, p = 0.047). Moreover, non-Hispanic, non-Latino patients are more likely to visit the clinic for HS than Hispanic, Latino patients (OR 5.49, p = 0.002). Additionally, with increasing patient age, there is less likelihood of a clinic visit for HS (OR 0.99; p = 0.03). Although obese patients were 3.5 times more likely to have an HS office visit than normal weight individuals, this difference was not significant (p = 0.07). Since weight was not collected in this survey until 2005 and data collection continues, further years of data may refine these estimates. These results suggest there may be either increased risk of HS among specific groups, disparities in health access for care of HS, or both.
