Surgical therapy for uncontrolled chronic hidradenitis suppurativa

Hidradenitis suppurativa (HS) is a recurrent, chronic inflammatory skin disease involving the axillary, inguinal, and anogenital regions that is manifested by abscesses, fistulae, and scarring. The exact etiology of this condition remains unknown. The aim of this study was to assess the consequences of uncontrolled chronic hidradenitis and to describe the long-term follow-up. The literature was reviewed to identify reliable information regarding the characteristics and treatment of hidradenitis. In addition, we evaluated long-term results of the patients with widespread chronic hidradenitis treated by us. The study group comprised three female and 11 male patients who were seriously ill. Multiple site disease was observed in all patients. The distribution of the inflammatory areas was noted: axilla (10), inguinal (5), perino-perianal (7), and other (7). Aggressive surgical treatment was performed on all patients. Good follow-up results were obtained with negligible recurrences. Since spontaneous resolution is rare and progressive disability the rule, early definitive surgical treatment of HS is advisable. © Springer-Verlag 2002