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Scroto-perineal hidradenitis suppurativa complicated by giant scrotal elephantiasis.

Alharbi B, Shlash A, Bedaiwi K, Hooti QA, Almohaisen A, Shlash S, Said M - Urol Ann (2015 Apr-Jun)

Bottom Line: HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum.The location of the lesions may lead to social embarrassment and failure to seek medical treatment.Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome.

View Article: PubMed Central - PubMed

Affiliation: Departments of Urology and Plastic Surgery, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
Scrotal elephantiasis has been a recognized complication of inguinal node irradiation, filarial infection, tumor involvement and surgical lymphatic destruction, but has rarely been reported in association with hidradenitis suppurativa (HS). HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum. The location of the lesions may lead to social embarrassment and failure to seek medical treatment. Scroto-preineal HS complicated by scrotal elephantiasis is a distressing disease. Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome. We present a 38-year-old male patient with long-standing scroto-perineal HS complicated by giant scrotal elephantiasis.

No MeSH data available.


Related in: MedlinePlus

Wound after 3 months
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Figure 3: Wound after 3 months

Mentions: For patients with extensive disease, a multidisciplinary approach is advised. Various surgical methods for treatment of HS have been described. Wide local excision with skin grafting, skin flap transfer, primary closure and faschiocutaneous and musculocutaneous flaps have all been applied for HS treatment according to the area affected.[4] In our case, wide excision of extensive involved skin areas was necessary, making primary closure impossible. Split-skin grafting was applied resulting in a good cosmetic, functional and uncomplicated outcome [Figure 3].


Scroto-perineal hidradenitis suppurativa complicated by giant scrotal elephantiasis.

Alharbi B, Shlash A, Bedaiwi K, Hooti QA, Almohaisen A, Shlash S, Said M - Urol Ann (2015 Apr-Jun)

Wound after 3 months
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4374274&req=5

Figure 3: Wound after 3 months
Mentions: For patients with extensive disease, a multidisciplinary approach is advised. Various surgical methods for treatment of HS have been described. Wide local excision with skin grafting, skin flap transfer, primary closure and faschiocutaneous and musculocutaneous flaps have all been applied for HS treatment according to the area affected.[4] In our case, wide excision of extensive involved skin areas was necessary, making primary closure impossible. Split-skin grafting was applied resulting in a good cosmetic, functional and uncomplicated outcome [Figure 3].

Bottom Line: HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum.The location of the lesions may lead to social embarrassment and failure to seek medical treatment.Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome.

View Article: PubMed Central - PubMed

Affiliation: Departments of Urology and Plastic Surgery, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia.

ABSTRACT
Scrotal elephantiasis has been a recognized complication of inguinal node irradiation, filarial infection, tumor involvement and surgical lymphatic destruction, but has rarely been reported in association with hidradenitis suppurativa (HS). HS, also known as acne inversa, is a chronic and often debilitating disease primarily affecting the axillae, inframammary regions and perineum. The location of the lesions may lead to social embarrassment and failure to seek medical treatment. Scroto-preineal HS complicated by scrotal elephantiasis is a distressing disease. Excisional surgery with reconstruction is the recommended treatment with a high likelihood of good outcome. We present a 38-year-old male patient with long-standing scroto-perineal HS complicated by giant scrotal elephantiasis.

No MeSH data available.


Related in: MedlinePlus