Abstract

LACERDA, MS  and  BAU, MN. Hidradenitis suppurativa: a case report. Rev. argent. dermatol. [online]. 2023, vol.104, pp.21-30. ISSN 1851-300X.

Hidradenitis suppurativa (HS) is a painful and chronic disease that particularlyaffects the follicle-pilosebaceous unit of the skin located in the groins, armpits, perianal region, perineum, genitals, and submammary glands, which areanatomical regions whereapocrine sweat glands are found.

The clinical course of HS is heterogeneous as it varies from very severe forms with deep fluctuating abscesses and eventual drainage; with severe residual scars, to another form ofacomparatively mild condition characterized by the presence of some recurrent inflammatory nodules, pustules and papules as well.

We report the case of a 12-year-old boy, diagnosed with hidradenitis suppurativa, who was treated with Adalimumab.

We reviewed the state of the art of this pathology, described its clinical characteristics, diagnostic criteria, differential diagnoses and carried out possible treatments.

The purpose of our presentation is to report our experience in monitoring the patient's case, along with the diagnostic vicissitudes in this regard, which ranged from severe inflammatory acne to finally arriving at a certain diagnosis of hidradenitis suppurativa, based on clinical and ultrasound criteria. We consider of interest the possibility of having been able to use the "biological agent" inhibitor of the tumor necrosis factor (TNF) that we have mentioned, with an excellent response.

Keywords : Hidradenitis suppurativa,Verneuil's disease; apocrinitis; acne inversa; autoinflammatory diseases.