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Image Number 280 (Hidradenitis suppurativa)

 
Morphology:
Nodule discharging

Diagnosis: Hidradenitis suppurativa

Site: Axillae

Sex: M

Age: 23

Type: Clinical

Description: Nodules and sinuses in both axillae

Submitted by: Ian McColl

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Differential Diagnosis

History:

Hidradenitis suppurativa is a devastating problem when it reaches this stage.There is chronic discharge from deep abscesses and sinus tracts .Numerous organisms can be grown from the discharge.Long term antibiotics may suppress the inflammation but seldom clears the problem.Extensive surgery to remove all the infection and sinus tracts with probable skingrafting will be necessary to clear the condition.The important thing is to do this early.

Dermatology Clinic weblog discussion on this case



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