Hidradenitis suppurativa
https://en.wikipedia.org/wiki/Hidradenitis_suppurativa
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References
What is hidradenitis suppurativa? 28209676 NIH
Hidradenitis suppurativa est condicio cutis, quae inveterata est, recurrit et vitam tuam graviter afficere potest. Inflammatio fit in folliculis pilorum et saepe ducit ad infectiones bacteriales. Medici solent egritudinem aestimare secundum species ulcerum quas habes (sicut noduli, abscessus, vel tractus sinus), ubi sunt (plerumque in plica cutis), et quotiens redeant atque quam diu permaneant.
Hidradenitis suppurativa is a chronic, recurrent, and debilitating skin condition. It is an inflammatory disorder of the follicular epithelium, but secondary bacterial infection can often occur. The diagnosis is made clinically based on typical lesions (nodules, abscesses, sinus tracts), locations (skin folds), and nature of relapses and chronicity.
Medical Management of Hidradenitis Suppurativa with Non-Biologic Therapy: What’s New? 34990004 NIH
Curae nonbiologicae et nonprocessuales communiter ad morbum levem solum adhibentur, et cum therapia et chirurgia biologica componi possunt pro morbo moderato ad gravem. Recentia studia efficaciam demonstrant ad usum corticosteroidorum directum in laesionibus inflamatibus pro HS et laesionibus localibus. Praeterea evidentia suggerit solum tetracycline utendum tam efficacem esse quam clindamycin cum rifampicina coniuncta.
Non-biologic and non-procedural treatments are often used as monotherapy for mild disease and can be used in conjunction with biologic therapy and surgery for moderate to severe disease. Recent studies highlighted in this review add support for the use of intralesional corticosteroids for HS flares and localized lesions, and there is evidence that monotherapy with tetracyclines may be as effective as the clindamycin/rifampicin combination.
Hidradenitis Suppurativa: A Systematic Review and Meta-analysis of Therapeutic Interventions 30924446Multae curationes hidradenitis suppurativae adhibentur, inter antibiotica, retinoida, antiandrogena, medicamenta immunis omnibus, medicamenta anti‑inflammatoria et radiotherapia pro laesionibus veteribus. Summo commendatur curationes adalimumab et laser Lorem. Chirurgia, sive excisio simplex sive excisio loci cum insitione cutis completa, optio potior est in casibus gravibus, cum causis provectis, quae aliis curationibus non respondent.
Many treatments are used for hidradenitis suppurativa, including antibiotics, retinoids, antiandrogens, immune-suppressing drugs, anti-inflammatory medications, and radiotherapy for early lesions. The top recommended treatments are adalimumab and laser therapy. Surgery, either simple excision or complete local excision with skin grafting, is the preferred option for severe, advanced cases that don't respond well to other treatments.
Causa exacta plerumque obscura est, sed factores genetici et environmentalia involvi creduntur. Circa tertiam partem hominum cum historia familiae affecta est. Aliae periculi causas includunt adipositatem et fumum. Conditio non est causata a mala nutritione aut paupere valetudine.
Nullum remedium definitum est. Lesiones secandae ad drainage sinendum, sed utilitas eorum limitata est. Antibiotica saepe adhibentur, sed evidentia de eorum efficacia pauca est. Medicamentum immunosuppressivum etiam explorari potest. In casibus gravibus, laser therapia vel chirurgia ad excisionem cutis affectae possunt esse optimae. Raro lesio cutis in carcinomate cutis evolvi potest.
Si casus levis hidradenitis suppurativa comprehendi sunt, aestimatio frequentiae eius inter 1‑4 % incolarum est. Mulieres ter plus quam viri afficiuntur. Incidence praesertim in iuventute est.