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Authors Wrone DA, Landeck A, Dibbell DG, Xie H, Warner TF
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Journal Pathol. Res. Pract. Volume: 196 Issue: 8 Pages: 589-592; discussion 593-4
Publish Date 2000
PubMed ID 10982024

A case of severe chronic hidradenitis suppurativa of the perineum complicated by disfiguring fibrous, polypoid lesions is presented. The patient, a 41-year-old woman, had a long history of axillary hidradenitis which subsequently involved the perineum. Draining sinuses, scars and large pendulous masses of the vulva developed over 10 years. Cutaneous scars, ridges, papules and large fibrous polyps were present. Deep clefts, sinuses, dense fibrous scars and foci of chronic inflammation were seen. Rarely, large fibrous polyps may develop in chronic hidradenitis suppurativa and may be due to chronic local lymphedema. Careful pathologic examination is necessary to exclude squamous cell carcinoma. Copyright © 2016 The Board of Regents of the University of Wisconsin System