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Skin lesion of hidradenitis suppurativa mimicking lymphogranuloma venereum: a case report

Abstract

Background: Hidradenitis suppurativa clinical appearance is painful, deep-seated inflamed lesions, most commonly found on axillary, inguinal, anogenital regions. It should be differentiated with primary cutaneous bacterial infection (abscesses, carbuncles, or furunculosis) and rare conditions such as lymphogranuloma venereum.

Case: we report a 50-year-old male presenting with an unusual clinical presentation of hidradenitis suppurativa located in suprapubic such as bilateral fluctuant and suppurative nodules resembling lymphadenitis, led to an initial diagnosis of lymphogranuloma. We excluded lymphogranuloma diagnosis based on the serology test of Chlamydia trachomatis, bacterial cultures, and sensitivity tests. The results were non-reactive for the Chlamydia trachomatis serology test, and Staphylococcus aureus was found in bacterial culture.

Conclusion: clinicians must be aware of diagnosis precisely, prevent the recurrent, and improve the prognosis.

References

  1. Sewon K, Masayuki A, Anna LB, et al. Fitzpatrick's Dermatology. 9th ed. United States: McGraw-Hill Education, 2019. 1480-1491 p.
  2. Napolitano, Maddalena, et al. "Hidradenitis suppurativa: from pathogenesis to diagnosis and treatment." Clinical, cosmetic, and investigational dermatology 10 (2017): 105.
  3. Griffiths C, Barker J, Bleiker T, et al. Rook's Textbook of Dermatology. 9th ed. United Kingdom: Wiley, 2016. 92.1-92.11 p.
  4. Habif TP. Clinical Dermatology: A Color Guide to Diagnosis and Therapy. 6th ed. United States: Elsevier, 2016. 260-262 p.
  5. James WD, Elston DM, Berger TG, Andrew's Disease of The Skin: Clinical Dermatology. 12th ed. United States: Elsevier, 2016, 236-238.
  6. Magalhães, Renata Ferreira, et al. "Consensus on the treatment of hidradenitis suppurativa-Brazilian Society of Dermatology." Anais brasileiros de dermatologia 94.2 (2019): 7-19.
  7. Ceovic, Romana, and Sandra JerkovicGulin. "Lymphogranuloma venereum: diagnostic and treatment challenges." Infection and drug resistance 8 (2015): 39.
  8. O'Byrne, Patrick, et al. "Approach to lymphogranuloma venereum." Canadian Family Physician 62.7 (2016): 554-558.
  9. Latini, Alessandra, et al. "Inguinal and anorectal Lymphogranuloma Venereum: a case series from a sexually transmitted disease center in Rome, Italy." BMC infectious diseases 17.1 (2017): 386.
  10. Vinkel, Caroline, and Simon Francis Thomsen. "Hidradenitis Suppurativa: Causes, Features, and Current Treatments." The Journal of clinical and aesthetic dermatology 11.10 (2018): 17

How to Cite

Pratama, A., & Nurdin, D. (2020). Skin lesion of hidradenitis suppurativa mimicking lymphogranuloma venereum: a case report. Intisari Sains Medis, 11(3), 1183–1186. https://doi.org/10.15562/ism.v11i3.644

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