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Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review

Hidradenitis suppurativa (HS) is a chronic inflammatory condition that is difficult to diagnose, with a period of 10.0±9.6 years from symptom onset to diagnosis. A 32-year-old Asian man presented with bilateral postauricular abscesses that first appeared 5 years previously. Despite several incisions...

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Autores principales: Kang, Inho, Jung, Gyu Yong, Yong, Min Jun, Ahn, Yujin, Lee, Joon Ho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Cleft Palate-Craniofacial Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165240/
https://www.ncbi.nlm.nih.gov/pubmed/37150528
http://dx.doi.org/10.7181/acfs.2023.00115
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author Kang, Inho
Jung, Gyu Yong
Yong, Min Jun
Ahn, Yujin
Lee, Joon Ho
author_facet Kang, Inho
Jung, Gyu Yong
Yong, Min Jun
Ahn, Yujin
Lee, Joon Ho
author_sort Kang, Inho
collection PubMed
description Hidradenitis suppurativa (HS) is a chronic inflammatory condition that is difficult to diagnose, with a period of 10.0±9.6 years from symptom onset to diagnosis. A 32-year-old Asian man presented with bilateral postauricular abscesses that first appeared 5 years previously. Despite several incisions and drainage, the symptoms only temporarily improved and continued to recur. On physical examination, chronic scars and sinus tracts were observed around the lesion. Postauricular HS was diagnosed, and surgical treatment was performed. We performed a wide excision and reconstructed the defect using a posterior auricular artery perforator-based keystone flap. Histological examination confirmed the diagnosis of HS. The reconstruction was successful, and there was no recurrence for 2 years after surgery. HS is difficult to diagnose without specific attention. Although the postauricular region is not a typical site of HS, it can occur in this area. Therefore, if a patient presents with recurrent abscesses in the postauricular region, HS should be considered. Additionally, if HS is diagnosed in the postauricular region, wide excision with reconstruction using a posterior auricular artery perforator-based keystone flap can lead to a favorable outcome.
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spelling pubmed-101652402023-05-09 Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review Kang, Inho Jung, Gyu Yong Yong, Min Jun Ahn, Yujin Lee, Joon Ho Arch Craniofac Surg Case Report and Literature Review Hidradenitis suppurativa (HS) is a chronic inflammatory condition that is difficult to diagnose, with a period of 10.0±9.6 years from symptom onset to diagnosis. A 32-year-old Asian man presented with bilateral postauricular abscesses that first appeared 5 years previously. Despite several incisions and drainage, the symptoms only temporarily improved and continued to recur. On physical examination, chronic scars and sinus tracts were observed around the lesion. Postauricular HS was diagnosed, and surgical treatment was performed. We performed a wide excision and reconstructed the defect using a posterior auricular artery perforator-based keystone flap. Histological examination confirmed the diagnosis of HS. The reconstruction was successful, and there was no recurrence for 2 years after surgery. HS is difficult to diagnose without specific attention. Although the postauricular region is not a typical site of HS, it can occur in this area. Therefore, if a patient presents with recurrent abscesses in the postauricular region, HS should be considered. Additionally, if HS is diagnosed in the postauricular region, wide excision with reconstruction using a posterior auricular artery perforator-based keystone flap can lead to a favorable outcome. Korean Cleft Palate-Craniofacial Association 2023-04 2023-04-20 /pmc/articles/PMC10165240/ /pubmed/37150528 http://dx.doi.org/10.7181/acfs.2023.00115 Text en Copyright © 2023 Korean Cleft Palate-Craniofacial Association https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report and Literature Review
Kang, Inho
Jung, Gyu Yong
Yong, Min Jun
Ahn, Yujin
Lee, Joon Ho
Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review
title Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review
title_full Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review
title_fullStr Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review
title_full_unstemmed Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review
title_short Surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review
title_sort surgical treatment of postauricular hidradenitis suppurativa with delayed diagnosis: a case report and literature review
topic Case Report and Literature Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10165240/
https://www.ncbi.nlm.nih.gov/pubmed/37150528
http://dx.doi.org/10.7181/acfs.2023.00115
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