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ISSN 0210-5187 (Electronic)

2012, Number 6

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Med Cutan Iber Lat Am 2012; 40 (6)

Suppurative hidradenitis with carcinomatous transformation

Arena G, Maradeo R, Michelena M, Luna A, Chiavassa AM, Pianzola H

Language: Spanish
References: 39
Page: 184-190
PDF size: 145.23 Kb.


ABSTRACT

Hidradenitis Suppurativa or Verneuil´s disease is a chronic inflammatory recurring process that affects the apocrine glands of the armpit, groin, perineal area, scalp and anoperineal area.
Its accurate ethiology is unknown. It is a rare disease, it is misdiagnosed and its incidence rate is estimated in 1 every 300 adults. It affects mainly women and black race people. However the perianal localization disease affects mainly men.
The medical treatment would mitigate the symptoms but most patients have chronic lesions that would require surgical treatment. The squamous cell carcinoma is a rarely reported complication which develops in the chronic lesions of Hidradenitis Suppurativa of long-term evolution.
We present a case of a male patient, 51 years old, who has, on old scar lesions, a centrally ulcerated multilobulated tumor formation of 3 months of evolution localized in the left gluteo-perineal area.
Complementary methods were used which led to the diagnostics of Hydradernitis Suppurativa with Carcinomatose Transformation (Squamous cell carcinoma). Surgical treatment followed by skin graft was used with excellent evolution.
The reason for this presentation is the infrequent localization and the unusual complication.
Something important to point out is that publications on this topic are rare.


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