Hidradenitis supurativa estadio III de Hurley: Manejo Quirúrgico

la hidradenitis supurativa es una enfermedad inflamatoria cronica, de etiologia desconocida, que afecta la unidad pilosebacea. se localiza en areas con alta densidad de glandulas apocrinas, tales como axilas, region inguinal y gluteos. se caracteriza por la presencia de placas, nodulos, cordones fibroticos y cicatrices que se infectan, de forma secundaria. entre los factores de riesgo se encuentran: la herencia, obesidad, tabaco y farmacos anticonceptivos. se describen como opciones terapeuticas el uso de antibioticos topicos, orales, productos biologicos como inhibidores del factor de necrosis tumoral alfa (FnT- α) y por ultimo, la exceresis quirurgica de las lesiones. se presenta el caso de una paciente femenina, de 35 anos de edad, con diagnostico de hidradenitis supurativa estadio iii de Hurley, sin respuesta favorable al tratamiento medico, a quien se le realizo exceresis de las lesiones en bloque y cierre del defecto con colgajo romboidal. Hidradenitis suppurativa Hurley Stage III. Surgical Management Abstract Hidradenitis suppurativa is a chronic inflammatory disease of unknown etiology that affects the pilosebaceous unit. it is located in areas with high density of apocrine sweat glands, such as armpits, groin and buttocks. it is characterized by the presence of plaques, nodules, cords and fibrotic scars that are secondarily infected. among the risk factors are: genetic, obesity, smoking and contraceptive drugs. The use of antibiotics (topical, oral), inhibitors of tumor necrosis factor alpha (TnF-α) and surgical exeresis of lesions are described as therapeutic options. Herewith, we present a case of a female patient, 35 years old, diagnosed with hidradenitis suppurativa at Hurley's stage iii, without favorable response to medical treatment, whom underwent exeresis of the lesions and closing of the defect with a rhomboid surgical flap.