Practical Management of Hidradenitis Suppurativa

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"apellidos" => "Daudén" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Universitario de la Princesa, Madrid, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Servicio de Dermatología, Hospital Universitario de la Princesa, C/ Diego de León, 62 28006 Madrid, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Manejo Práctico de la Hidrosadenitis Supurativa" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2007-07-11" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84105" "palabras" => array:4 [ 0 => "surgery" 1 => "hidradenitis suppurativa" 2 => "infliximab" 3 => "treatment" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84106" "palabras" => array:4 [ 0 => "cirugía" 1 => "hidrosadenitis supurativa" 2 => "infliximab" 3 => "tratamiento" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Hidradenitis suppurativa is a chronic inflammatory disease that usually affects areas of the skin with a high density of apocrine glands (axillae, groin, perianal and perineal regions, submammary area, etc). It usually appears in women during puberty. The etiology of the disease is unknown, although it is thought to be a primary defect of the hair follicle. When diagnosing hidradenitis suppurativa, a number of genetic and hormonal predisposing factors should be considered alongside other putative triggers, such as obesity, smoking, and tight clothing. Diagnosis is essentially clinical and it is important to bear in mind the possible complications associated with the disease, such as the development of tumors. Management of the disease includes general measures (antiseptic soaps, warm baths, etc), pharmacological therapy (topical, intralesional, and systemic), surgery (direct closure, second-intention healing, grafts, flaps, etc), and other measures (carbon dioxide laser, radiation therapy, etc). It is important that the disease be diagnosed and treated as soon as possible given the potential physical and psychological problems that it can generate." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "La hidrosadenitis supurativa (HS) es una enfermedad inflamatoria crónica que suele manifestarse en zonas cutáneas con gran densidad de glándulas apocrinas (axilas, ingles, región perianal, perineal, submamaria, etc.). Suele iniciarse en mujeres durante la pubertad. La etiología de esta enfermedad es desconocida, aunque se considera un defecto primario del folículo piloso. Debemos considerar una serie de factores predisponentes (genéticos y hormonales) y otros desencadenantes controvertidos (obesidad, tabaco, ropa ajustada, etc.) en el diagnóstico de la HS. El diagnóstico es básicamente clínico y es importante tener en cuenta las posibles complicaciones derivadas del padecimiento de esta enfermedad, como la posibilidad de desarrollar lesiones tumorales. El manejo de esta patología comprende diversas pautas: medidas generales (jabones antisépticos, baños templados, etc.), farmacológicas (tópicas, intralesionales y sistémicas), quirúrgicas (cierre directo, cierre por segunda intención, injertos, colgajos, etc.) y otras medidas (láser CO2, radioterapia, etc.). Es importante identificar y tratar cuanto antes esta patología debido a los potenciales problemas físicos y psicológicos en los que puede derivar." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:61 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hidradenitis suppurativa: pathogenesis and management" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "D.E.M. Slade" 1 => "B.W. Powell" 2 => "P.S. 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Estadísticas

Practical dermatology

Practical Management of Hidradenitis Suppurativa

Manejo Práctico de la Hidrosadenitis Supurativa

J. Pedraz

Autor para correspondencia

javierpedraz@aedv.es

Correspondence: Servicio de Dermatología, Hospital Universitario de la Princesa, C/ Diego de León, 62 28006 Madrid, Spain.

, E. Daudén

Servicio de Dermatología, Hospital Universitario de la Princesa, Madrid, Spain

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        "titulo" => "Abstract"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Hidradenitis suppurativa is a chronic inflammatory disease that usually affects areas of the skin with a high density of apocrine glands &#40;axillae&#44; groin&#44; perianal and perineal regions&#44; submammary area&#44; etc&#41;&#46; It usually appears in women during puberty&#46; The etiology of the disease is unknown&#44; although it is thought to be a primary defect of the hair follicle&#46; When diagnosing hidradenitis suppurativa&#44; a number of genetic and hormonal predisposing factors should be considered alongside other putative triggers&#44; such as obesity&#44; smoking&#44; and tight clothing&#46; Diagnosis is essentially clinical and it is important to bear in mind the possible complications associated with the disease&#44; such as the development of tumors&#46; Management of the disease includes general measures &#40;antiseptic soaps&#44; warm baths&#44; etc&#41;&#44; pharmacological therapy &#40;topical&#44; intralesional&#44; and systemic&#41;&#44; surgery &#40;direct closure&#44; second-intention healing&#44; grafts&#44; flaps&#44; etc&#41;&#44; and other measures &#40;carbon dioxide laser&#44; radiation therapy&#44; etc&#41;&#46; It is important that the disease be diagnosed and treated as soon as possible given the potential physical and psychological problems that it can generate&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La hidrosadenitis supurativa &#40;HS&#41; es una enfermedad inflamatoria cr&#243;nica que suele manifestarse en zonas cut&#225;neas con gran densidad de gl&#225;ndulas apocrinas &#40;axilas&#44; ingles&#44; regi&#243;n perianal&#44; perineal&#44; submamaria&#44; etc&#46;&#41;&#46; Suele iniciarse en mujeres durante la pubertad&#46; La etiolog&#237;a de esta enfermedad es desconocida&#44; aunque se considera un defecto primario del fol&#237;culo piloso&#46; Debemos considerar una serie de factores predisponentes &#40;gen&#233;ticos y hormonales&#41; y otros desencadenantes controvertidos &#40;obesidad&#44; tabaco&#44; ropa ajustada&#44; etc&#46;&#41; en el diagn&#243;stico de la HS&#46; El diagn&#243;stico es b&#225;sicamente cl&#237;nico y es importante tener en cuenta las posibles complicaciones derivadas del padecimiento de esta enfermedad&#44; como la posibilidad de desarrollar lesiones tumorales&#46; El manejo de esta patolog&#237;a comprende diversas pautas&#58; medidas generales &#40;jabones antis&#233;pticos&#44; ba&#241;os templados&#44; etc&#46;&#41;&#44; farmacol&#243;gicas &#40;t&#243;picas&#44; intralesionales y sist&#233;micas&#41;&#44; quir&#250;rgicas &#40;cierre directo&#44; cierre por segunda intenci&#243;n&#44; injertos&#44; colgajos&#44; etc&#46;&#41; y otras medidas &#40;l&#225;ser CO<span class="elsevierStyleInf">2</span>&#44; radioterapia&#44; etc&#46;&#41;&#46; Es importante identificar y tratar cuanto antes esta patolog&#237;a debido a los potenciales problemas f&#237;sicos y psicol&#243;gicos en los que puede derivar&#46;</p>"
      ]
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Información del artículo

ISSN: 15782190
Idioma original: Inglés

DOI:10.1016/S1578-2190(08)70209-9

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