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Clin Colon Rectal Surg 2011; 24(1): 071-080
DOI: 10.1055/s-0031-1272826
© Thieme Medical Publishers

Hidradenitis Suppurativa and Pruritus Ani

Theodor Asgeirsson1 , Robert Nunoo2 , Martin A. Luchtefeld3
  • 1Department of Surgery, Spectrum Health, Greenville, Michigan
  • 2Department of Research, Spectrum Health, Grand Rapids, Michigan
  • 3Division of Colon and Rectal Surgery, Spectrum Health, Grand Rapids, Michigan
Further Information

Publication History

Publication Date:
23 February 2011 (online)

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ABSTRACT

Hidradenitis suppurativa (HS) is a chronic debilitating disorder that can affect any areas bearing apocrine glands. Perineal HS is associated with high morbidity compared with other anatomic regions. Early-stage disease may mimic various other forms of cutaneous disorders, but as HS progresses pathognomonic skin changes occur. Clinical stage can guide the therapeutic approach, but the lowest recurrence rate is obtained by removing all involved skin and subcutaneous fat. Pruritus ani is a complex disease with a multitude of etiologies. Its management can be frustrating and disappointing for the patient and doctor alike. The key is to start with simple treatment options focusing on perianal hygiene and avoidance of the most common offending foods and beverages. If these measures fail, topical medications should be attempted before graduating to perianal injections of methylene blue as a last resort.

KEYWORDS

Hidradenitis suppurativa - acne inversa - pruritus ani

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Martin A LuchtefeldM.D. 

Division of Colon and Rectal Surgery, Spectrum Health

4100 Lake Dr. SE, Ste 205, Grand Rapids, MI 49546

Email: Mluchtefeld@gmail.com