Color Doppler ultrasound assessment of morphology and types of fistulous tracts in hidradenitis suppurativa (HS) - 18/09/16
, Ariel Castro, MSc b, Andres Figueroa, MD cAbstract |
Background |
Fistulous tracts in hidradenitis suppurativa (HS) are key signs of severity and their clinical evaluation alone may be limited for assessing their presence and morphology. There is also a need to determine the factors that allow reversibility of the anatomic changes in HS.
Objective |
We sought to categorize fistulous tracts in HS.
Methods |
A retrospective study of color Doppler ultrasound images of cases with positive clinical and sonographic criteria of HS with fistulous tracts was performed. The sonographic staging of HS, location, and anatomic characteristics of the tracts were registered and graded. Statistical analysis for correlating variables was performed using bivariate and multivariate studies.
Results |
In all, 52 patients presenting 96 fistulous tracts met the criteria. Morphology was defined and a sonographic classification into 3 types of fistulae was developed. Type 3 concentrated 71% of the cases presenting communicating tracts, and type 2, 29%. Types 2 and 3 represented 63% of patients with multiple fistulous tracts. Fistulous tracts types 2 and 3 were significantly correlated with age 35 years or older and groin location.
Limitations |
Ultrasound cannot detect lesions less than 0.1 mm.
Conclusion |
Fistulous tracts in HS can be categorized using ultrasound, which may support earlier and more precise management.
Le texte complet de cet article est disponible en PDF.Key words : dermatologic ultrasound, fistula hidradenitis, hidradenitis, hidradenitis sonography, hidradenitis suppurativa, hidradenitis suppurativa imaging, hidradenitis suppurativa ultrasound, hidradenitis ultrasound, skin ultrasound, tunnels hidradenitis
Plan
| Funding sources: None. |
|
| Conflicts of interest: None declared. |
|
| Reprints not available from the authors. |
Vol 75 - N° 4
P. 760-767 - octobre 2016 Retour au numéro
Article précédent
- Hidradenitis suppurativa (HS) is associated with low socioeconomic status (SES): A cross-sectional reference study
- Inge E. Deckers, Ineke C. Janse, Hessel H. van der Zee, Tamar Nijsten, Jurr Boer, Barbara Horváth, Errol P. Prens
- Association of insulin-like growth factor (IGF)-1 gene polymorphisms with plasma levels of IGF-1 and acne severity
- Shekh Mohammad Amanur Rahaman, Dipankar De, Sanjeev Handa, Arnab Pal, Naresh Sachdeva, Tulikalipi Ghosh, Parul Kamboj
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?