Anal carbuncle and emedicine

Patient information: See related handout on hidradenitis suppurativa , written by the author of this article. Hidradenitis suppurativa is a chronic, recurrent, debilitating disease that presents with painful, inflamed lesions in the apocrine-gland—bearing areas of the body, most commonly the axillary, inguinal, and anogenital areas. Etiology traditionally has been attributed to occlusion of the apocrine duct by a keratinous plug; however, defects of the follicular epithelium also have been noted. Contributing factors include friction from axillary adiposity, sweat, heat, stress, tight clothing, and genetic and hormonal components. Multiple treatment regimens are available, including antibiotics, retinoids, corticosteroids, incision and drainage, local wound care, local excision, radiation, and laser therapy.
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Hidradenitis Suppurativa: A Treatment Challenge

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Pathology Outlines - Carbuncle

Furunculosis is a deep infection of the hair follicle leading to abscess formation with accumulation of pus and necrotic tissue. Furuncles appear as red, swollen, and tender nodules on hair-bearing parts of the body, and the most common infectious agent is Staphylococcus aureus , but other bacteria may also be causative. In some countries, methicillin resistant S. Furunculosis often tends to be recurrent and may spread among family members. Some patients are carriers of S. Solitary lesions should be incised when fluctuant, whereas patients with multiple lesions or signs of systemic disease or immunosuppression should be treated with relevant antibiotics.
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Recurrent furunculosis – challenges and management: a review

Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus , Crohn's disease , chronic corticosteroid treatment and others. Ischiorectal, inter- and intrasphincteric abscesses have been described. Anorectal abscesses are classified according to their anatomic location and the following are the most common types; Perianal abscess, Ischiorectal abscess, Intersphincteric abscess and Supralevator abscess. Ischiorectal abscess is formed when suppuration transverses the external anal sphincter into the ischiorectal space. Intersphincteric abscess results from suppuration contained between the internal and external anal sphincters.
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See pictures of some of our visitors at CAP19 here. Page views in 3, Cite this page: Do H Carbuncle. Accessed September 28th, Deep form of bacterial folliculitis involving several hair follicles, often due to Staphylococcus aureus , which can be cultured from skin.
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