Estadísticas

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      "titulo" => "Manejo del paciente con hidradenitis supurativa"
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      "titulo" => "Aspectos clínicos de la hidradenitis supurativa y de la enfermedad de Crohn: ¿qué hay en común?"
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    "titulo" => "Hidradenitis supurativa y enfermedad de Crohn perianal: diagnóstico diferencial"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Penner y Crohn fueron los primeros en describir las f&#237;stulas y las complicaciones perianales de la enfermedad de Crohn hace 75 a&#241;os&#46; Los estudios publicados han confirmado posteriormente que las f&#237;stulas perianales son las manifestaciones m&#225;s comunes en la enfermedad de Crohn que fistuliza&#46; La hidradenitis supurativa fue descrita en 1854 por un cirujano franc&#233;s&#44; Aristide Verneuil&#46; La hidradenitis supurativa es una enfermedad del fol&#237;culo piloseb&#225;ceo&#44; cr&#243;nica&#44; inflamatoria&#44; recurrente y debilitante&#44; que se presenta normalmente despu&#233;s de la pubertad con lesiones profundas&#44; dolorosas e inflamadas en las zonas del cuerpo con presencia de gl&#225;ndulas apocrinas&#44; m&#225;s frecuentemente en las regiones axilares&#44; inguinales y anogenitales&#46; El diagn&#243;stico diferencial entre hidradenitis supurativa y enfermedad de Crohn puede ser un reto&#44; especialmente cuando la enfermedad es primariamente perianal&#46; Cuando ocurren juntas&#44; la hidradenitis supurativa y la enfermedad de Crohn se presentan con fenotipos graves y los enfermos pueden responder a tratamientos antifactor de necrosis tumoral&#44; aunque adalimumab es&#44; a d&#237;a de hoy&#44; el &#250;nico que ha demostrado eficacia en la hidradenitis supurativa y en la enfermedad de Crohn&#46; En ocasiones ser&#225;n necesarios adem&#225;s diferentes procedimientos quir&#250;rgicos complementarios&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The first description of perianal fistulas and complications in Crohn disease was made 75 years ago by Penner and Crohn&#46; Published studies have subsequently confirmed that perianal fistulas are the most common manifestations of fistulising Crohn disease&#46; Hidradenitis suppurativa was described in 1854 by a French surgeon&#44; Aristide Verneuil&#46; It is a chronic&#44; inflammatory&#44; recurrent and debilitating disease of the pilosebaceous follicle&#44; that usually manifests after puberty with deep&#44; painful and inflamed lesions in the areas of the body with apocrine glands&#44; usually the axillary&#44; inguinal and anogenital regions&#46; The differential diagnosis between hidradenitis suppurativa and Crohn disease can be challenging&#44; especially when the disease is primarily perianal&#46; When they occur simultaneously&#44; hidradenitis suppurativa and Crohn disease show severe phenotypes and patients can respond to anti-tumour necrosis factor therapy&#44; although adalimumab is currently the only treatment with demonstrated efficacy in hidradenitis suppurativa and Crohn disease&#46; In addition&#44; there is sometimes a need for different complementary surgical procedures&#46;</p></span>"
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