Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic Treatment
Hidradenitis suppurativa (HS), a challenging dermatological condition, can be described as a chronic, painful, follicular, occlusive disease that is characterized by painful nodules, abscesses, and sinus tracts generally located in the intertriginous skin areas. This disorder places a considerable b...
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| Format: | Article |
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MDPI AG
2024-02-01
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| Series: | Reports |
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| Online Access: | https://www.mdpi.com/2571-841X/7/1/13 |
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| author | Ioana-Valentina Stoenică Mihai Cristian Dumitrașcu Aida Petca Răzvan-Cosmin Petca Florica Șandru |
| author_facet | Ioana-Valentina Stoenică Mihai Cristian Dumitrașcu Aida Petca Răzvan-Cosmin Petca Florica Șandru |
| author_sort | Ioana-Valentina Stoenică |
| collection | DOAJ |
| description | Hidradenitis suppurativa (HS), a challenging dermatological condition, can be described as a chronic, painful, follicular, occlusive disease that is characterized by painful nodules, abscesses, and sinus tracts generally located in the intertriginous skin areas. This disorder places a considerable burden on affected individuals and often leads to significant impairment in quality of life for those grappling with its persistent and recurrent nature. We present the case of a 20-year-old male patient known to have ulcerative proctitis and diagnosed with hidradenitis suppurativa in 2020, for which he underwent various topical and systemic treatments, with periods of remission and recurrent flares without managing to obtain complete remission of HS. In our dermatology service, the patient underwent two surgical unroofing procedures combined with punch debridement, with the wounds being allowed to heal by secondary intention. This choice of treatment delivered great results with favorable outcomes, without recurrence of the lesions, proving to be an effective method for managing HS. By presenting this case, we underline the role of surgical procedures in managing HS, and our desire is to emphasize the importance of comprehensive understanding of this enigmatic and complex condition for more effective management strategies in patients with refractory disease. |
| first_indexed | 2024-04-24T17:51:33Z |
| format | Article |
| id | doaj.art-47b2620a3c234984b3659a3c0facadd1 |
| institution | Directory Open Access Journal |
| issn | 2571-841X |
| language | English |
| last_indexed | 2024-04-24T17:51:33Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Reports |
| spelling | doaj.art-47b2620a3c234984b3659a3c0facadd12024-03-27T14:02:56ZengMDPI AGReports2571-841X2024-02-01711310.3390/reports7010013Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic TreatmentIoana-Valentina Stoenică0Mihai Cristian Dumitrașcu1Aida Petca2Răzvan-Cosmin Petca3Florica Șandru4Dermatology Department, Elias University Emergency Hospital, 011461 Bucharest, RomaniaDepartment of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Obstetrics and Gynecology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDepartment of Urology, “Carol Davila” University of Medicine and Pharmacy, 020021 Bucharest, RomaniaDermatology Department, Elias University Emergency Hospital, 011461 Bucharest, RomaniaHidradenitis suppurativa (HS), a challenging dermatological condition, can be described as a chronic, painful, follicular, occlusive disease that is characterized by painful nodules, abscesses, and sinus tracts generally located in the intertriginous skin areas. This disorder places a considerable burden on affected individuals and often leads to significant impairment in quality of life for those grappling with its persistent and recurrent nature. We present the case of a 20-year-old male patient known to have ulcerative proctitis and diagnosed with hidradenitis suppurativa in 2020, for which he underwent various topical and systemic treatments, with periods of remission and recurrent flares without managing to obtain complete remission of HS. In our dermatology service, the patient underwent two surgical unroofing procedures combined with punch debridement, with the wounds being allowed to heal by secondary intention. This choice of treatment delivered great results with favorable outcomes, without recurrence of the lesions, proving to be an effective method for managing HS. By presenting this case, we underline the role of surgical procedures in managing HS, and our desire is to emphasize the importance of comprehensive understanding of this enigmatic and complex condition for more effective management strategies in patients with refractory disease.https://www.mdpi.com/2571-841X/7/1/13hidradenitis suppurativaulcerative proctitissurgical treatmentunroofingpunch debridement |
| spellingShingle | Ioana-Valentina Stoenică Mihai Cristian Dumitrașcu Aida Petca Răzvan-Cosmin Petca Florica Șandru Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic Treatment Reports hidradenitis suppurativa ulcerative proctitis surgical treatment unroofing punch debridement |
| title | Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic Treatment |
| title_full | Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic Treatment |
| title_fullStr | Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic Treatment |
| title_full_unstemmed | Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic Treatment |
| title_short | Hidradenitis Suppurativa in Association with Ulcerative Proctitis: Surgical Management in a Refractory Case to Topical and Systemic Treatment |
| title_sort | hidradenitis suppurativa in association with ulcerative proctitis surgical management in a refractory case to topical and systemic treatment |
| topic | hidradenitis suppurativa ulcerative proctitis surgical treatment unroofing punch debridement |
| url | https://www.mdpi.com/2571-841X/7/1/13 |
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