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February 1957


AMA Arch Derm. 1957;75(2):310-311. doi:10.1001/archderm.1957.01550140154037

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Hidradenitis Suppurativa. Presented by Dr. Walter B. Shelley, Dr. Herbert A. Luscombe, and (by invitation) Dr. Peter R. Senn.

A Negro aged 28, thin but well developed, psychologically well adjusted to his ailment, presented many pitting scars on the face. There were pustules and subcutaneous inflammatory nodular and cystic lesions with considerable subcutaneous edema. There was a large, deep, inflammatory mass at the angle of each jaw, beneath the ears. The occiput and neck were involved in widespread, indurated, inflammatory cystic lesions with the overlying skin thrown into folds. Skin grafts were present in both axillae, where there was no evidence of hidradenitis. The groin, perineum, scrotal, and perianal regions presented skin grafts with some hypertrophic scarring and some actively draining sinuses. There was elephantiasis of the genitalia. Perianally there were pustules and inflammatory nodular lesions and draining sinuses. The donor sites of the skin grafts

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