THE NEED FOR GRADUAL SURGICAL TREATMENT IN VERNEUIL’S DISEASE

VERNEUIL'S DISEASE IS A CHRONIC, SUPPURATIVE, AND OFTEN SCARRING INFLAMMATORY CONDITION OF THE APOCRINE GLANDS, OFTEN FOUND IN REGIONS OF THE BODY WHERE THE NUMBER OF THESE GLANDS IS INCREASED. 10 THEREFORE THE AREAS OF CHOICE IN WHICH THIS CONDITION MAKES ITS PRESENCE FELT ARE THE ARMPIT, THE ANOGENITAL REGION AND RARELY THE SCALP. IT CAN OFTEN BE ASSOCIATED WITH CONGESTED ACNE AND DISSECTING SCALP FOLLICULITIS, WHICH HAS LED PILLSBURY AND HIS CO-WORKERS TO INCLUDE THEM IN A SINGLE NAME: ,,FOLLICULAR OCCLUSION TRIAD’’. 11 FREQUENT ASSOCIATION WITH PILONIDAL CYST HAS TRANSFORMED THE TRIAD INTO AN ACNE TETRAD. 12 SYNONYMS OF VERNEUIL'S DISEASE ARE CHRONIC HYDROSADENITIS (+/ - SUPPURATIVE), SWEAT GLAND ABSCESSES, AP OCRINITIS OR REVERSED ACNE. BEING A MOTHER -DAUGHTER DISEASE, IT AFFECTS WO MEN WITH A SLIGHT PREVALENCE, AND AS A LOCATION THE AXILLARY FORM IS MUCH MORE COMMON.13 THE PATHOGENESIS OF THIS DISEASE REMAINS UNKNOWN, BUT THE ETIOLOGICAL FACTORS INVOLVED ARE : OBESITY, HYPERANDROGENISM, BACTERIAL INFECTIONS, GENETIC PREDISPOSITION TO ACNE, IMMUNOLOGICAL FACTORS SUCH AS IL-12, IL-23 AND TNF-Α.

The body of this article is intentionally hidden on the public page. Please use the PDF reader or the PDF download for the complete text.