A Case of Hidradenitis Suppurativa with Plaque Morphea: Association or Chance?

Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the apocrine glands characterized clinically by recurrent nodules, abscesses, and discharging sinuses which heal with a bridge or rope-like scars in the axilla, groin, and perineum. HS is seen to be associated with several other auto...

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Bibliographic Details
Published in:Journal of dermatology & dermatologic surgery 2023-07, Vol.27 (2), p.82-84
Main Authors: Sharmeen, Ayesha, Adil, Mohammad, Amin, Syed S, Rehman, Suhailur
Format: Article
Language:English
Subjects:
acne inversa
connective tissue disease
hidradenitis suppurativa
morphea
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Summary:Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the apocrine glands characterized clinically by recurrent nodules, abscesses, and discharging sinuses which heal with a bridge or rope-like scars in the axilla, groin, and perineum. HS is seen to be associated with several other autoimmune and pilosebaceous structural disorders. We present the case of a 50-year-old obese female, known case of HS for 3 years who developed hyperpigmented indurated plaques over the breasts for the past 1 year. Histopathology from the plaques showed thickened and homogenized collagen bundles. A diagnosis of plaque morphea was made based on the clinical and histopathological findings. There are few case reports of HS associated with connective tissue diseases (CTDs) such as systemic lupus erythematosus, Sjogren’s syndrome, and systemic vasculitis. We discuss the shared pathogenesis of HS and CTDs which may have led to morphea developing in our patient.
ISSN:2352-2410
2352-2429
DOI:10.4103/jdds.jdds_12_23