Aims and objectives
Hidradenitis suppurativa (HS) is an inflammatory skin disease that affects apocrine gland and hair follicles,
with a chronic intermittent course.
It is a complex disease of difficult management.
High-resolution ultrasound (HRUS) is a cost-effective,
non-invasive,
real time and multiaxial imaging examination that has an increasing role in the study of study HS.
The purposes of our scientific exhibit are:
-to illustrate the role of High-Resolution Ultrasound (HRUS) in the study of HS
-to determine how HRUS may change the management of HS
Methods and materials
Our work was conducted in collaboration with the Department of Dermatology of the University of Genoa.
35 patients with clinical diagnosis of HS were enrolled in this study (16 men and 19 women,
average age 35 years old).
Each patient underwent clinical examination performed by dermatologists and HRUS examination performed by radiologists.
Ultrasound examination was performed using a linear 18MHz ultrasound transducer.
During the scan,
the patients were sitting or lying in front of the examiner,
depending on the region to be examined.
Ultrasound gel...
Results
Hurley’s score classified 15 patients at I stage,
16 patients at II stage and 4 patients at III stage (fig.3).
HRUS examination of HS lesions provided important anatomic informations that were clinically unavailable,
and SOS-HS score classified 9 patients at I stage,
17 patients at II stage and 9 patients at III stage (fig.4).
Conclusion
Our preliminary data explain that clinical scores can underestimate the phase and severity of the disease.
Thanks to its high special resolution,
HRUS can support early diagnosis and is able to assess the severity of diseases.
It could also play a role in the assessment of the course of treatment and in the pre-surgical mapping of the lesions.
Personal information
Nicola Romano:
Department of Health Sciences (DISSAL)- Radiology Section,
University of Genoa,
Italy
Aldo Fischetti:
Department ofHealth Sciences (DISSAL)- Radiology Section,
University of Genoa,
Italy
Ilaria Mussetto:
Department ofHealth Sciences (DISSAL)- Radiology Section,
University of Genoa,
Italy
Giulia Merlo:
Department ofHealth Sciences (DISSAL)-Dermatology Section,
University of Genoa; Policlinico San Martino,
Genoa,
Italy
Umberto Viglino:
Faculty of Medicine,
University of Genoa,
Genoa,
Italy
Emanuele Cozzani:
Department ofHealth Sciences (DISSAL)-Dermatology Section,
University of Genoa; Policlinico San Martino,
Genoa,
Italy
Aurora Parodi:
Department ofHealth Sciences (DISSAL)-Dermatology Section,
University...
References
Wortsman X,
Moreno C,
Soto R,
Arellano J,
Pezo C,
Wortsman J.
Ultrasound in-depth characterization and staging of hidradenitis suppurativa.
Dermatol Surg.
2013 Dec;39(12):1835-42.
doi: 10.1111/dsu.12329.
Zarchi K,
Yazdanyar N,
Yazdanyar S,
Wortsman X,
Jemec GB.
Pain and inflammation in hidradenitis suppurativa correspond to morphological changes identified by high-frequency ultrasound.
J Eur Acad Dermatol Venereol.
2015 Mar;29(3):527-32.
doi: 10.1111/jdv.12610.
Wortsman X.
Imaging of Hidradenitis Suppurativa.
Dermatol Clin.
2016 Jan;34(1):59-68.
doi: 10.1016/j.det.2015.08.003.
Wortsman X,
Revuz J,
Jemec GB.
Lymph nodes in hidradenitis suppurativa.
Dermatology.
2009;219(1):22-4.
doi:...
