Ultrasonography of Facial and Submandibular Hidradenitis Suppurativa and Concomitance with Acne Vulgaris

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dc.contributor.authorWortsman, Ximena
dc.contributor.authorOrtiz-Orellana, Gabriela
dc.contributor.authorValderrama, Yessenia
dc.contributor.authorFerreira-Wortsman, Camila
dc.contributor.authorReyes, Francisco
dc.contributor.authorHerane, Maria Isabel
dc.date.accessioned2025-01-20T16:13:22Z
dc.date.available2025-01-20T16:13:22Z
dc.date.issued2024
dc.description.abstractObjectivesTo describe the ultrasound characteristics of facial and submandibular hidradenitis suppurativa (HS) and detect acne vulgaris (AV) concomitance in these cases.MethodsWe performed a retrospective study of the ultrasound images of patients with facial HS who had been clinically evaluated by dermatologists. The reported ultrasound diagnostic criteria, severity (mSOS-HS), and activity (US-HAS) staging of HS were used to categorize the patients. The finding of fragments of hair tracts within the key lesions (dilated hair follicles, pseudocysts, fluid collections, and tunnels) was considered a pivotal sign to discriminate HS from AV. Demographic and morphological analysis of the images were considered.ResultsThirty-three patients met the criteria (78.8% male/21.2% female). Of these, the mSOS- HS scoring was stage I in 51.5%, stage II in 27.3%, and stage III in 21.2%. Dilation of the hair follicles and the presence of pseudocysts, fluid collections, and tunnels were detected in the HS cases; 63.1% of pseudocysts, 62.4% of tunnels, and 46.2% of fluid collections contained fragments of hair tracts. In all HS cases, there was a key lesion(s) with fragments of hair tracts. Four (12.1%) patients showed concomitant facial HS and acne ultrasound lesions. The acne lesions were pseudocysts without inner hair tract fragments in all cases, and the SOS-Acne scoring was stage II for all of them.ConclusionFacial HS can be detected on ultrasound and shows a morphology similar to that of HS in other corporal regions. In some cases, facial HS could be concomitant with AV. The subclinical ultrasonographic information can support a better management of these cases.
dc.fuente.origenWOS
dc.identifier.doi10.1002/jum.16526
dc.identifier.eissn1550-9613
dc.identifier.issn0278-4297
dc.identifier.urihttps://doi.org/10.1002/jum.16526
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/90383
dc.identifier.wosidWOS:001267683400001
dc.issue.numero10
dc.language.isoen
dc.pagina.final1928
dc.pagina.inicio1919
dc.revistaJournal of ultrasound in medicine
dc.rightsacceso restringido
dc.subjectacne
dc.subjectacne conglobata
dc.subjectacne vulgaris
dc.subjectdermatologic ultrasound
dc.subjectdermatology
dc.subjecthidradenitis suppurativa
dc.subjectpseudofolliculitis barbae
dc.subjectultrasonography
dc.subjectultrasound
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleUltrasonography of Facial and Submandibular Hidradenitis Suppurativa and Concomitance with Acne Vulgaris
dc.typeartículo
dc.volumen43
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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