Abstract

CARDOSO, Ana da Costa  and  CARNEIRO, Ana Cláudia. Suppurative hidradenitis: case report. Rev Port Med Geral Fam [online]. 2020, vol.36, n.3, pp.305-310. ISSN 2182-5173.  https://doi.org/10.32385/rpmgf.v36i3.12514.

Introduction: Hidradenitis suppurativa is a recurrent chronic inflammatory skin disease. The diagnosis is clinical and most often late - the average period of diagnosis is seven years. This case presents a diagnostic challenge since it differs from the most frequent epidemiology for this disease Case description: Male patient, 44 years of age, with a history of overweight and smoker of 28 pack/year. In 2008, the patient refers to the appearance of retro auricular and cervical nodules and later, axillary and inguinal nodules. For 10 years, the patient presents multiple episodes of infection of the nodules and appearance of new lesions, with suppuration and fistulization. The patient was subjected to multiple antibiotic treatments and various excisional procedures. In 2018 the diagnostic hypothesis of hidradenitis suppurativa was raised and initiated targeted antibiotic therapy. The diagnosis is confirmed by dermatology and the patient has been proposed for biological treatment, due to the failure of the antibiotic therapy. Commentary: The timely diagnosis of hidradenitis suppurativa is essential and family physicians have a privileged position for the initial approach and timely referral.

Keywords : Hidradenitis supurativa; Acne inversa; Apocrine glands; Dermatology.

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