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SURGICAL TREATMENT OF CHRONIC SUPPURATIVE HIDRADENITIS

SURGICAL TREATMENT OF CHRONIC SUPPURATIVE HIDRADENITIS Abstract CHRONIC suppurative hidradenitis (hidrosadenitis suppurativa) is an inflammatory disease that most commonly involves the skin and adjacent subcutaneous tissues of the axillary, inguinal, submammary, perianal and genital regions. This disease in the chronic stage of development is manifested by sinus tracts, abscesses and ulcers. The process affects chiefly the apocrine type of sweat gland, hence the foregoing favorite sites of location. The disease is primarily a dermatologic one, and most of the literature is found among the dermatologic writings. The small percentage of cases that eventually become chronic, with the development of extensive sinus tracts and abscesses, cease to become medical problems, and the treatment advocated in the literature is described curtly, i. e., "plastic surgery." The exact nature of this operation is not explained, and little can be found about it in the surgical literature. The skin contains two types of sweat glands, the eccrine and apocrine. The eccrine References 1. Velpeau, A.: Aisselle , in Dictionnaire de médecine, ou répertoire générale des sciences médicales sous le rapport théorique et pratique , ed. 2, Paris, Béchet jeune, 1832-1845, vol. 2, p. 91 2. Anus , Velpeau, Dictionnaire de médecine, ou répertoire générale des sciences médicales sous le rapport théorique et pratique 1832-1845, vol. 3, p. 304 3. Mammelles , Velpeau, Dictionnaire de médecine, ou répertoire générale des sciences médicales sous le rapport théorique et pratique 1832-1845, vol. 19, p. 1. 4. Verneuil, A.: Études sur les tumeurs de la peau at quelques maladies des glandes sudoripares , Arch. gén. de méd. 4:447 and 693, 1854. 5. Gans, O.: Histologie der Hautkrankheiten , Berlin, Julius Springer, 1925, vol. 1, p. 360. 6. Macey, H. B.: Axillary Hidrosadenitis Suppurativa: Report of Case , Proc. Staff Meet., Mayo Clin. 16:758-759 ( (Nov. 26) ), 1941. 7. Jackman, R. J., and McQuarrie, H. B.: Hidradenitis Suppurativa: Its Confusion with Pilonidal Disease and Anal Fistula , Am. J. Surg. 77:349-351 ( (March) ) 1949.Crossref 8. Lane, J. E.: Hidrosadenitis Axillaris of Verneuil , Arch. Dermat. & Syph. 28:609 ( (Nov.) ) 1933. 9. Brunsting, H. A.: Hidrosadenitis Suppurativa (Abscess of Apocrine Sweat Gland): Preliminary Report , Proc. Staff Meet., Mayo Clin. 12:753-754 ( (Dec. 1) ) 1937. 10. Brunsting, H. A.: Hidradenitis Suppurativa: Study of Clinical and Pathologic Features with Report of 22 Cases and Review of Literature , Arch. Dermat. & Syph. 39:108-120 ( (Jan.) ) 1939. 11. Tachau, P.: Sweat Gland Abscesses in Adults , Arch. Dermat. & Syph. 40:595-600 ( (Oct.) ) 1939. 12. Kahn, K.: Plastic Surgery on Axilla , New York State J. Med. 45:1555-1558 ( (July 15) ) 1948. 13. Lauber, H. J.: Beitrag zur Behandlung der Schweissdrüsenabszesse , Münch. med. Wchnschr. 89:11 ( (Jan. 2) ) 1942. 14. Goodall, R. G.: Hidrosadenitis Suppurativa , J. M. A. Alabama 17:159-163 ( (Nov.) ) 1947. 15. Senear, F. E.: Personal communication to the author. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

SURGICAL TREATMENT OF CHRONIC SUPPURATIVE HIDRADENITIS

Archives of Surgery , Volume 61 (2) – Aug 1, 1950

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References (12)

Publisher
American Medical Association
Copyright
Copyright © 1950 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1950.01250020197001
Publisher site
See Article on Publisher Site

Abstract

Abstract CHRONIC suppurative hidradenitis (hidrosadenitis suppurativa) is an inflammatory disease that most commonly involves the skin and adjacent subcutaneous tissues of the axillary, inguinal, submammary, perianal and genital regions. This disease in the chronic stage of development is manifested by sinus tracts, abscesses and ulcers. The process affects chiefly the apocrine type of sweat gland, hence the foregoing favorite sites of location. The disease is primarily a dermatologic one, and most of the literature is found among the dermatologic writings. The small percentage of cases that eventually become chronic, with the development of extensive sinus tracts and abscesses, cease to become medical problems, and the treatment advocated in the literature is described curtly, i. e., "plastic surgery." The exact nature of this operation is not explained, and little can be found about it in the surgical literature. The skin contains two types of sweat glands, the eccrine and apocrine. The eccrine References 1. Velpeau, A.: Aisselle , in Dictionnaire de médecine, ou répertoire générale des sciences médicales sous le rapport théorique et pratique , ed. 2, Paris, Béchet jeune, 1832-1845, vol. 2, p. 91 2. Anus , Velpeau, Dictionnaire de médecine, ou répertoire générale des sciences médicales sous le rapport théorique et pratique 1832-1845, vol. 3, p. 304 3. Mammelles , Velpeau, Dictionnaire de médecine, ou répertoire générale des sciences médicales sous le rapport théorique et pratique 1832-1845, vol. 19, p. 1. 4. Verneuil, A.: Études sur les tumeurs de la peau at quelques maladies des glandes sudoripares , Arch. gén. de méd. 4:447 and 693, 1854. 5. Gans, O.: Histologie der Hautkrankheiten , Berlin, Julius Springer, 1925, vol. 1, p. 360. 6. Macey, H. B.: Axillary Hidrosadenitis Suppurativa: Report of Case , Proc. Staff Meet., Mayo Clin. 16:758-759 ( (Nov. 26) ), 1941. 7. Jackman, R. J., and McQuarrie, H. B.: Hidradenitis Suppurativa: Its Confusion with Pilonidal Disease and Anal Fistula , Am. J. Surg. 77:349-351 ( (March) ) 1949.Crossref 8. Lane, J. E.: Hidrosadenitis Axillaris of Verneuil , Arch. Dermat. & Syph. 28:609 ( (Nov.) ) 1933. 9. Brunsting, H. A.: Hidrosadenitis Suppurativa (Abscess of Apocrine Sweat Gland): Preliminary Report , Proc. Staff Meet., Mayo Clin. 12:753-754 ( (Dec. 1) ) 1937. 10. Brunsting, H. A.: Hidradenitis Suppurativa: Study of Clinical and Pathologic Features with Report of 22 Cases and Review of Literature , Arch. Dermat. & Syph. 39:108-120 ( (Jan.) ) 1939. 11. Tachau, P.: Sweat Gland Abscesses in Adults , Arch. Dermat. & Syph. 40:595-600 ( (Oct.) ) 1939. 12. Kahn, K.: Plastic Surgery on Axilla , New York State J. Med. 45:1555-1558 ( (July 15) ) 1948. 13. Lauber, H. J.: Beitrag zur Behandlung der Schweissdrüsenabszesse , Münch. med. Wchnschr. 89:11 ( (Jan. 2) ) 1942. 14. Goodall, R. G.: Hidrosadenitis Suppurativa , J. M. A. Alabama 17:159-163 ( (Nov.) ) 1947. 15. Senear, F. E.: Personal communication to the author.

Journal

Archives of SurgeryAmerican Medical Association

Published: Aug 1, 1950

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