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GEORGE J.HRUZAMDMICHAEL P.HEFFERNANMDSUMMER R.YOUKERMD
A 67-year-old white man with a 20-year history of hidradenitis suppurativa (HS) presented for treatment of painful purulent draining sinuses, cysts, and nodules involving his ears, axillae, buttocks, and groin. His medical history was notable for inflammatory bowel disease, which had been treated with a total colectomy in 1971. Prior treatments for his HS included multiple courses of oral antibiotics, surgical resection of the buttocks and axillae, and radiation therapy to his left ear in an attempt to improve the swelling and anatomical disfigurement that were impairing his auditory function. Cultures from his left ear were positive for Escherichia coli. At the time of referral, he was being treated with augmentin (875 mg twice a day) for his HS and associated left otitis externa, otitis media, and mastoiditis. This therapy yielded mild improvement, but the patient continued to have significant pain, drainage, and hearing impairment.
Moul DK, Korman NJ. Severe Hidradenitis Suppurativa Treated With Adalimumab. Arch Dermatol. 2006;142(9):1110–1112. doi:10.1001/archderm.142.9.1110
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