Australas J Dermatol 1997 Nov;38(4):209-11
Hidradenitis suppurativa, Dowling Degos disease and perianal squamous cell carcinoma.
Li M, Hunt MJ, Commens CA
Department of Dermatology, Westmead Hospital, Sydney, New South Wales, Australia.
A patient with hidradenitis suppurativa (HS) is described in association with Dowling Degos disease and perianal squamous cell carcinomas. As the initial treatment for HS failed to give any satisfactory relief he sought no further medical help for the subsequent 40 years. This patient illustrates the management difficulties in HS and the need for regular surveillance to exclude the development of anogenital squamous cell carcinoma. Previous reports of hidradenitis suppurativa in association with Dowling Degos disease are reviewed and the aetiology is discussed.
Ann Plast Surg 1997 Dec;39(6):662-5
Two patients with penile keloids: a review of the literature.
Gurunluoglu R, Bayramicli M, Numanoglu A
Department of Plastic and Reconstructive Surgery, Marmara University School of Medicine, Altunizade-Istanbul, Turkiye.
Keloid formation on the penis is exceptionally rare even though the penis is frequently subjected to surgical manipulations such as circumcision. Review of the literature revealed a few reports of patients with penile keloids. A 13-year-old Caucasian boy who had a pronounced penile keloid after circumcision and a 56-year-old Caucasian male who had keloid formation on the dorsum of the shaft of the penis after several attacks of penoscrotal hidradenitis suppurativa are presented. They comprise the fifth and the sixth cases of keloid formation in the literature to our knowledge. Intralesional steroid injection and surgical excision are the treatment modalities for this malady. Surgical excision appears to be the choice of treatment for larger lesions that are disabling. Recurrence is still possible, of course.
Rev Prat 1997 Oct 1;47(15):1667-73
[Vulvar dermatoses]. [Article in French]
Koeppel MC, Sayag J
Service de dermato-venerologie, Hopital de la Timone, Marseille.
Vulvar dermatoses are the localizations to the vulva of a great variety of dermatoses. In genodermatoses, the expression of diseases on the vulva is a part of a complex syndrome. It is non indispensable for the diagnosis. In the immuno-allergic dermatoses or in dermatoses where the pathogenesis is not clearly understood, the vulvar disease is very important because the vulva is often the exclusive localization. The vulvar disease can be the first manifestation before the other expressions of the mucocutaneous disease. Sometimes, there is a risk of scars or transformation in epithelioma. So the diagnosis must be soon established. At least, hidradenitis suppurativa is disease where the choice of the must appropriate treatment is difficult.
Acta Derm Venereol 1997 Nov;77(6):483
Lithium therapy associated with hidradenitis suppurativa.
Marinella MA
Ned Tijdschr Geneeskd 1997 Jul 26;141(30):1484-7
[Suppurative hidradenitis]. [Article in Dutch]
Rasker SP, Welvaart K
Academisch Ziekenhuis, afd. Heelkunde, Leiden.
An obese woman aged 18 years had been suffering for several years from axillary hidradenitis suppurativa. Repeated incision and drainage never gave lasting results and the patient became socially isolated. Hidradenitis suppurativa is a chronic suppurative inflammation of skin areas containing apocrine glands: the skin of the axillae, of the breasts and of the anogenital region. Treatment in the first instance consists of general hygienic measures. Pharmaceuticals used include antibiotics, antiandrogens and oestrogens. Surgery is performed when the condition is at an advanced stage, with cellulitis and scarring; ample excision is necessary to reduce the risk of recurrence. CO2 laser therapy is a new method of treatment that shows good results in incipient and advanced lesions.
Langenbecks Arch Chir Suppl Kongressbd 1997;114:490-2
[Recurrent sweat gland abscess]. [Article in German]
Lorenz D
Klinik und Poliklinik fur Chirurgie, E.-M.-Arndt-Universitat, Greifswald.
Hidradenitis suppurativa is of high clinical and social significance, particularly if appearing as symptom of acne inversa and if located in the genitoanal region. Successful treatment includes early diagnosis together with thorough surgical therapy. The latter consists of wide local excision in order to remove all infected tissue. Localization and the size of defect as well as the experience of the surgeon predict the method of plastic reconstruction. Non-surgical procedures are only of supporting character either prior to or after surgery.
Ned Tijdschr Geneeskd 1997 Nov 29;141(48):2364
[Suppurative hidradenitis]. [Article in Dutch] [Letter]
Schretlen IC
Ned Tijdschr Geneeskd 1997 Nov 8;141(45):2198
[Suppurative hidradenitis]. [Letter] [Article in Dutch]
Lans WR
Comment on: Ned Tijdschr Geneeskd 1997 Jul 26;141(30):1484-7
Ned Tijdschr Geneeskd 1997 Nov 8;141(45):2197-8
[Suppurative hidradenitis]. [Article in Dutch] [Letter]
Plasmeijer JH
Comment on: Ned Tijdschr Geneeskd 1997 Jul 26;141(30):1484-7
Ned Tijdschr Geneeskd 1997 Sep 13;141(37):1791
[Suppurative hidradenitis]. [Article in Dutch] [Letter]
Bos WH
Clin Exp Dermatol 1997 Jul;22(4):206-7
Hidradenitis suppurativa and monoarthritis of the hip. [Letter]
Leitch DN, Holland CD, Langtry JA