Hidradenitis Suppurativa Cases

The follow are clinical examples of hidradenitis suppurative. Once the

disease starts, it becomes progressive and self-perpetuating. The

course varies from an occasional cyst in the axillae to diffuse abscess

formation in the inguinal region.

This is an early lesion. A noninflamed papule evolved into an inflamed

lesion and the diagnosis of an abscess was mad. This lesion has

ruptured exuding purulent discharge. The nodule healed with scarring

but then recurs in the adjacent area.

Here multiple nodules have occurred , coalesced and become infected.

Extensive, deep, dermal inflammation has resulted in large, painful

abscesses.

Early lesions on the buttock have recurred, become more extensive and

extended to form fistulas and scar. The process repeated and resulted

in draining dermal sinus tracts over a wide confluent area.

The healing process permanently alters the dermis. Cordlike bands of

scar tissue criss-cross the axillae and groin. Reepithelialization

leads to meandering, epithelial-lined sinus tracts in which foreign

material and bacteria become trapped.