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Review
. 2015 Aug;32(4):296-301.
doi: 10.5114/pdia.2014.44012. Epub 2015 Aug 12.

Acne inversa: difficulties in diagnostics and therapy

Beata Bergler-Czop  1 , Karolina Hadasik  1 , Ligia Brzezińska-Wcisło  1
Affiliations
Review

Acne inversa: difficulties in diagnostics and therapy

Beata Bergler-Czop et al. Postepy Dermatol Alergol. 2015 Aug.

Abstract

Acne inversa (hidradenitis suppurativa) is a potentially severe and chronic inflammatory disease with a significant negative influence on the quality of life. Usually, lesions are located in the areas of skin folds and it is characterized by the presence of painful nodules and fistulas with a tendency to tissue fibrosis. Currently, it is suggested that follicular occlusion by infundibular hyperkeratosis plays a crucial role in pathogenesis and an occupation of apocrine sweat glands is a secondary phenomenon. Most often, it refers to men after puberty. This article tries to present the latest theory concerning the etiology of inverted acne and methods of its treatment. It also describes the most common errors in diagnostic and therapeutic procedures, which are mainly connected with repeated and long antibiotic therapy and not radical surgical treatment.

Keywords: acne inversa; etiology; treatment.

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Figures

Figure 1 A-C
Figure 1 A-C
Severe acne inversa – stage III
Figure 2
Figure 2
Acne inverse: A – stage I, B – stage II
See this image and copyright information in PMC

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