Hidradenitis suppurativa

Case contributed by Dr Chris O'Donnell

Presentation

Recurrent inflammed mass lesions in the axillae. Does not shave. Parent has a similar condition requiring surgical excision

Patient Data

Age: 45
Gender: Female
Ultrasound

Hypoechoic, linear mass lesions in the subcutaneous fat of the axilla with minor prominence of blood flow.

Case Discussion

These appearances are typical of the condition, whereby there is recurrent obstruction to sweat (apocrine) glands in various locations especially the axillae and groins leading to secondary infection. These present as recurrent painful, red swellings that contain pus and should be differentiated from obstucted sebaceous glands that tend to be rounder and less prone to infection.  The condition tends to run in families and to be more common in certain ethnic groups.

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Case information

rID: 44140
Case created: 9th Apr 2016
Last edited: 12th Jul 2016
Inclusion in quiz mode: Included

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