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Case Series

Multidisciplinary Management of Adolescents with Hidradenitis Suppurativa – Series of Cases and Literature Review

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Pages 2205-2216 | Published online: 16 Aug 2021

Figures & data

Figure 1 Excision and grafting of the axillary area, with a favorable evolution after Hurley stage III suppurative hidradenitis.

Figure 1 Excision and grafting of the axillary area, with a favorable evolution after Hurley stage III suppurative hidradenitis.

Figure 2 Hurley stage III suppurative hidradenitis, affecting the groin, scrotal, perineal, inner thighs.

Figure 2 Hurley stage III suppurative hidradenitis, affecting the groin, scrotal, perineal, inner thighs.

Figure 3 Favorable evolutionary fasciocutaneous flaps under VAC treatment and protection of the perineal area by colostomy. The post-fasciotomy scar is also observed on the right leg.

Figure 3 Favorable evolutionary fasciocutaneous flaps under VAC treatment and protection of the perineal area by colostomy. The post-fasciotomy scar is also observed on the right leg.

Figure 4 Hyperplasia of the epidermis and the presence of a fistulous tract lined with granulation tissue and hemorrhage (HE stain, x40).

Figure 4 Hyperplasia of the epidermis and the presence of a fistulous tract lined with granulation tissue and hemorrhage (HE stain, x40).

Figure 5 Polymorphic inflammatory infiltrate with polymorphonuclear, lymphocytes, plasmocytes and multinucleous extracellular giant cells (HE stain, x200).

Figure 5 Polymorphic inflammatory infiltrate with polymorphonuclear, lymphocytes, plasmocytes and multinucleous extracellular giant cells (HE stain, x200).

Figure 6 Hemato-fibrino-leukocyte exudate on the surface and fibrosis on the wall (HE stain, x40).

Figure 6 Hemato-fibrino-leukocyte exudate on the surface and fibrosis on the wall (HE stain, x40).

Figure 7 Bilateral axillary hidradenitis, Hurley stage II.

Figure 7 Bilateral axillary hidradenitis, Hurley stage II.

Figure 8 Suppurative hidradenitis in the groin and perineal.

Figure 8 Suppurative hidradenitis in the groin and perineal.

Figure 9 Psoriasis lesions on the elbows and back.

Figure 9 Psoriasis lesions on the elbows and back.

Figure 10 Dextroconvex dorsolumbar scoliosis and L5 spondylolysis.

Figure 10 Dextroconvex dorsolumbar scoliosis and L5 spondylolysis.

Figure 11 Thickened epidermis, edema, hemorrhagic exudate, inflammatory polymorphic infiltrate (HE stain, x40).

Figure 11 Thickened epidermis, edema, hemorrhagic exudate, inflammatory polymorphic infiltrate (HE stain, x40).

Figure 12 Areas with inflammatory polymorphic infiltrate, with relatively numerous eosinophils throughout the dermis (HE stain, x100).

Figure 12 Areas with inflammatory polymorphic infiltrate, with relatively numerous eosinophils throughout the dermis (HE stain, x100).

Table 1 Hurley Staging of Suppurative Hidradenitis

Table 2 A Synthesis of the Latest Guidelines for Treatment of HS