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Extensive hidradenitis suppurativa with dorsal foot involvement: a case report.

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Citation: Journal of Surgical Case Reports. 2019(11):rjz349, 2019 Nov.PMID: 31803468Institution: MedStar Health Research Institute | MedStar Washington Hospital CenterDepartment: Firefighters' Burn and Surgical Research Laboratory | Surgery/Burn ServicesForm of publication: Journal ArticleMedline article type(s): Case ReportsSubject headings: IN PROCESS -- NOT YET INDEXEDYear: 2019 ISSN:

2042-8812

Name of journal: Journal of surgical case reportsAbstract: Hidradenitis suppurativa (HS) is a highly morbid chronic inflammatory skin disease resulting in painful and purulent lesions classically occurring in areas with a high density of apocrine glands such as the groin and axillae. This is the case of a 53-year-old male with medically refractory Hurley stage III HS affecting multiple anatomical sites including the dorsum of the right foot, an atypical location. Throughout his hospital course, he underwent a series of surgical excision and graft procedures to treat extensive HS lesions on various anatomical locations. In patients with a history of HS, mechanical stress may result in atypical lesion locations. In addition to the standard medical and surgical treatment, management should include optimizing nutritional parameters, smoking cessation, wound care and reducing friction and pressure at the affected area. Copyright Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. (c) The Author(s) 2019.All authors: Johnson LS, Nisar S, Roberson JL, Shupp JW, Travis TEFiscal year: FY2020Digital Object Identifier:

https://dx.doi.org/10.1093/jscr/rjz349

Date added to catalog: 2020-01-03

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Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	31803468	Available		31803468

Hidradenitis suppurativa (HS) is a highly morbid chronic inflammatory skin disease resulting in painful and purulent lesions classically occurring in areas with a high density of apocrine glands such as the groin and axillae. This is the case of a 53-year-old male with medically refractory Hurley stage III HS affecting multiple anatomical sites including the dorsum of the right foot, an atypical location. Throughout his hospital course, he underwent a series of surgical excision and graft procedures to treat extensive HS lesions on various anatomical locations. In patients with a history of HS, mechanical stress may result in atypical lesion locations. In addition to the standard medical and surgical treatment, management should include optimizing nutritional parameters, smoking cessation, wound care and reducing friction and pressure at the affected area. Copyright Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. (c) The Author(s) 2019.

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