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Pilonidal Disease and Hidradenitis Suppurativa

  • Harry T. Papaconstantinou
  • Thomas E. Read
Chapter

Abstract

  • Pilonidal disease is a subcutaneous infection in the upper half of the gluteal cleft.

  • The acute form is an abscess.

  • The chronic form is a sinus that is an indolent wound resistant to healing.

  • Pilonidal disease is most commonly found in young adults, with increased body hair, in their 20’s.

  • Men outnumber women 3–4 to 1.

  • Occupations associated with the development of pilonidal disease include those in the military, hairdressers, and sheepshearers.

  • Possible predisposing factors include obesity, being a vehicle driver, a sedentary occupation, a history of a furuncle at another site on the body, a deep natal cleft, and a positive family history.

  • The actual incidence is unknown but reported to be 0.7 % in adolescents and 26 per 100,000 in all ages.

  • Pilonidal is not really a “cyst” as no epithelialized wall exits in the cavities this disease creates.

Keywords

Sinus Tract Myocutaneous Flap Pilonidal Sinus Hidradenitis Suppurativa Pilonidal Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Section of Colon and Rectal Surgery, Department of Surgery, Scott and White Memorial Hospital and ClinicTexas A and M University Health SystemTempleUSA
  2. 2.Department of Colon and Rectal Surgery, Lahey Clinic Medical CenterTufts University School of MedicineBurlingtonUSA

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