1
|
Fisher S, Ziv M. Ectopic presentation of hidradenitis suppurativa. Clin Dermatol 2023; 41:592-600. [PMID: 37661025 DOI: 10.1016/j.clindermatol.2023.08.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/05/2023]
Abstract
Hidradenitis suppurativa (HS) is a chronic inflammatory disease involving primarily intertriginous skin areas. Ectopic HS lesions are a reported phenomenon that is not fully understood. We present a case report of a 66-year-old patient with painful symmetric ulcerated plaques on the posterior surface of the ankles and lower lip. In addition, we performed a systematic review on ectopic HS by conducting an electronic literature search to identify relevant contributions. Inclusion criteria included English-language and full texts only using PubMed, Embase, and the Cochrane Database. We found 22 eligible contributions reporting on a total of 58 patients. Most of the patients were men who had lesions on the head and neck region. The reviewed cases share common features with HS and may be considered disorders of follicular occlusion.
Collapse
Affiliation(s)
- Shani Fisher
- Dermatology and Venereology Department, Emek Medical Center, Afula, Israel; Nursing department, Ariel Univiersity, Israel.
| | - Michael Ziv
- Dermatology and Venereology Department, Emek Medical Center, Afula, Israel
| |
Collapse
|
2
|
Francois K, Moon HS, Panchal N. Cervicofacial hidradenitis suppurativa: A case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol 2023; 135:e25-e31. [PMID: 36241598 DOI: 10.1016/j.oooo.2022.07.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 06/13/2022] [Accepted: 07/23/2022] [Indexed: 12/01/2022]
Abstract
Hidradenitis suppurativa (HS) is a chronic inflammatory condition of the apocrine glands primarily affecting the axillae, perineum, and inframammary regions. It is characterized by painful, inflamed cutaneous lesions causing nodules, sinus tracts, and abscesses. Cervicofacial HS is an atypical presentation of HS in the head and neck region and is scarcely reported in the literature. We present a 34-year-old male who developed a large facial swelling overlying the left inferior mandibular border. Management included surgical incision and drainage, antibiotic therapy, followed by infliximab (Remicade). The purpose of this case report was to highlight the presentation, pathophysiology, interdisciplinary approach to treatment and follow-up of patients with cervicofacial HS, and finally, review the cervicofacial HS literature.
Collapse
Affiliation(s)
- Kevin Francois
- Department of Oral and Maxillofacial Surgery, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
| | - Hwi Sean Moon
- Department of Cleft and Craniofacial Surgery, El Paso Children's Hospital, El Paso, TX, USA.
| | - Neeraj Panchal
- Department of Oral and Maxillofacial Surgery, Philadelphia Veterans Affairs Medical Center, Penn Presbyterian Medical Center, University of Pennsylvania School of Dental Medicine, Philadelphia, PA, USA
| |
Collapse
|
3
|
Rankin BD, Haber RM. Case report of hidradenitis suppurativa localized to the face in an HIV patient. SAGE Open Med Case Rep 2021; 9:2050313X211057923. [PMID: 34777812 PMCID: PMC8581772 DOI: 10.1177/2050313x211057923] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
Abstract
Hidradenitis suppurativa is a chronic, debilitating inflammatory skin disease. Case reports of individuals with hidradenitis suppurativa presenting exclusively on the face, as well as reports of individuals with HIV and hidradenitis suppurativa, are rare. Here, we present the case of an HIV-positive man who presented with hidradenitis suppurativa localized only on his face. We also review facial hidradenitis suppurativa and hidradenitis suppurativa in HIV patients.
Collapse
Affiliation(s)
- Brian D Rankin
- Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Richard M Haber
- Division of Dermatology, Department of Medicine, University of Calgary, Calgary, AB, Canada
| |
Collapse
|
4
|
Sanchez-Diaz M, Martinez-Lopez A, Salvador-Rodriguez L, Montero-Vilchez T, Arias-Santiago S, Molina-Leyva A. The role of biologic treatment in special scenarios in hidradenitis suppurativa: Facial and nape phenotype, dissecting cellulitis of the scalp, and lymphedema. Dermatol Ther 2021; 34:e14829. [PMID: 33527618 DOI: 10.1111/dth.14829] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2020] [Revised: 01/21/2021] [Accepted: 01/23/2021] [Indexed: 11/29/2022]
Abstract
Hidradenitis suppurativa (HS) is a chronic inflammatory disorder affecting the hair follicle which typically affects the axilla, inguinal, submammary, and perianal areas. Atypical HS, such as facial HS, dissecting cellulitis of the scalp (DCS), nape HS, and HS lymphedema has also been described. There is scarce evidence about the treatment of atypical HS. To describe the efficacy of biologic drugs and adjuvant therapeutic interventions used in patients with atypical HS who had an inadequate response to systemic antibiotics. Prospective case series study of patients with atypical HS (facial HS, DCS, nape HS, and HS lymphedema) treated with biologic drugs in a HS Clinic setting. Disease activity indexes, sociodemographic, clinical, and safety variables were collected. Two patients met criteria for Facial HS, three met criteria for DCS/nape HS and three patients met criteria for HS lymphedema. Patients with facial HS achieved rapid improvement without requiring other therapies. Patients with DCS, nape HS, and HS lymphedema showed variable response, with decrease of activity indexes, and requiring adjuvant treatments. Biologic drugs are useful in the management of special HS locations. In the case of facial HS, biologic therapy seems to be quite effective as monotherapy. In the cases of DCS, HS lymphedema and nape HS, treatment combination or intensification may be needed.
Collapse
Affiliation(s)
- Manuel Sanchez-Diaz
- Hidradenitis Suppurativa Clinic, Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Antonio Martinez-Lopez
- Hidradenitis Suppurativa Clinic, Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain.,European Hidradenitis Suppurativa Foundation (EHSF), Dessau-Roßlau, Germany
| | - Luis Salvador-Rodriguez
- Hidradenitis Suppurativa Clinic, Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Trinidad Montero-Vilchez
- Hidradenitis Suppurativa Clinic, Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Salvador Arias-Santiago
- Hidradenitis Suppurativa Clinic, Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain.,European Hidradenitis Suppurativa Foundation (EHSF), Dessau-Roßlau, Germany
| | - Alejandro Molina-Leyva
- Hidradenitis Suppurativa Clinic, Department of Dermatology, Hospital Universitario Virgen de las Nieves, Granada, Spain.,European Hidradenitis Suppurativa Foundation (EHSF), Dessau-Roßlau, Germany.,Instituto de Investigación Biosanitaria, Granada, Spain
| |
Collapse
|
5
|
Food allergy–exacerbated atypical hidradenitis suppurativa. THE JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE 2020; 8:2826-2827. [DOI: 10.1016/j.jaip.2020.04.062] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Revised: 04/15/2020] [Accepted: 04/16/2020] [Indexed: 02/02/2023]
|
6
|
Agut-Busquet E, Romaní J, Ribera M, Luelmo J. Hidradenitis suppurativa of the nape: Description of an atypical phenotype related to severe early-onset disease in men. J Dermatol 2018; 46:149-153. [DOI: 10.1111/1346-8138.14722] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2018] [Accepted: 11/06/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Eugènia Agut-Busquet
- Department of Dermatology; Hospital of Sabadell; Corporació Sanitària Parc Taulí; Autonomous University of Barcelona; Barcelona Spain
| | - Jorge Romaní
- Department of Dermatology; Hospital of Sabadell; Corporació Sanitària Parc Taulí; Autonomous University of Barcelona; Barcelona Spain
| | - Miquel Ribera
- Department of Dermatology; Hospital of Sabadell; Corporació Sanitària Parc Taulí; Autonomous University of Barcelona; Barcelona Spain
| | - Jesús Luelmo
- Department of Dermatology; Hospital of Sabadell; Corporació Sanitària Parc Taulí; Autonomous University of Barcelona; Barcelona Spain
| |
Collapse
|