Journal of Cutaneous and Aesthetic Surgery

ORIGINAL ARTICLE
Year
: 2017  |  Volume : 10  |  Issue : 2  |  Page : 95--100

The clinical pattern of axillary hidradenitis suppurativa among Saudi Arabians: Mode of presentation and treatment challenges


Bader Hamza Shirah1, Hamza Asaad Shirah2 
1 King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
2 Department of General Surgery, Al Ansar General Hospital, Medina, Saudi Arabia

Correspondence Address:
Bader Hamza Shirah
King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, P.O. Box: 65362, Jeddah 21556
Saudi Arabia

Background: Hidradenitis suppurativa is a chronic follicular occlusive disease affecting the folliculopilosebaceous unit. The clinical course is variable, ranging from mild to severe cases. Definitive evidence-based guidelines for the management are lacking. In addition, the multifaceted clinical features and the unpredictable course of the disease make a uniform approach to treatment impractical. As a result, there are multiple therapeutic approaches. Therefore, in this study, we aim to analyze the results of management of axillary hidradenitis suppurativa among the local community in Saudi Arabia. Materials and Methods: A retrospective cohort database analysis of 1369 patients diagnosed and treated for axillary hidradenitis suppurativa between January 2004 and December 2013 was done. Seven hundred and forty-one (54.12%) were females and 628 (45.87%) were males. All patients with Stage I disease favored the conservative method while all patients with Stage II chose the surgical approach. Results: The mean age was 25.5 years. Nine hundred and seventy-four (71.15%) patients were treated conservatively; the mean healing time was 5.5 weeks. Three hundred and ninety-five (28.85%) patients were treated surgically. One hundred and fourteen (28.9%) had incision and drainage, 281 (71.1%) had complete excision; all wounds eventually healed without significant scarring. The recurrence rate was 12.5% (122 patients) in the conservative method group and zero (0%) in the surgical method group. Conclusions: Hidradenitis suppurativa remains a challenging clinical condition for patients and physicians. Further studies need to focus not only on the etiology of this disease but also on the optimal treatment regimen. Public awareness programs are necessary to avoid late presentation and complications.


How to cite this article:
Shirah BH, Shirah HA. The clinical pattern of axillary hidradenitis suppurativa among Saudi Arabians: Mode of presentation and treatment challenges.J Cutan Aesthet Surg 2017;10:95-100


How to cite this URL:
Shirah BH, Shirah HA. The clinical pattern of axillary hidradenitis suppurativa among Saudi Arabians: Mode of presentation and treatment challenges. J Cutan Aesthet Surg [serial online] 2017 [cited 2020 Jan 22 ];10:95-100
Available from: http://www.jcasonline.com/article.asp?issn=0974-2077;year=2017;volume=10;issue=2;spage=95;epage=100;aulast=Shirah;type=0