Hidradenitis suppurativa - association with Crohn's /

[Guest guest]

, here are some links. There are lots of them out there about the

association between hidradenitis and Crohn's. Have you ever considered

Remicade (infliximab) therapy (be sure to see the second link)?

http://www.hideintl.org/1-nwde23.htm

http://www.hideintl.org/1-nwsde9.htm

" The follicular occlusion triad consists of HS, acne conglobata and

perifolliculitis capitis abscedens et suffodiens (26-28). Arthritis of

peripheral joints and the axial skeleton may rarely be associated with

HS (29-32). HS has also been linked to Crohn's disease (33-35). One

study reported 24 out of 61 patients with HS were also diagnosed with

Crohn's disease, which predated the HS by an average of 3.5 years (35).

Acanthosis nigricans and Fox-Fordyce disease may predispose to HS (36).

Pyoderma gangrenosum (37,38) and pyoderma vegetans (27) have also been

associated with hidradenitis suppurativa. "

Source: http://www.mf.uni-lj.si/acta-apa/acta-apa-00-4/papadopoulos.html

" (Australia--Australian Family Physician, July 1999, p. 727.)

Hidradenitis suppurativa is a chronic inflammatory condition of the

apocrine glands. This skin infection most commonly involves the axillae

and perineum. Hidradenitis suppurativa occurs principally in obese women

younger than 30 years. No immunologic abnormality has been demonstrated

with this condition, but it is often associated with increased androgen

levels. The differential diagnosis includes furunculosis, infected

epidermoid cysts and granulomatous disease. When the inguinal and

perineal areas are involved, Crohn's disease and lymphogranuloma

venereum must be considered. Although long-term clindamycin and

antiandrogen therapy may benefit some patients, surgical excision is the

most effective treatment for hidradenitis suppurativa. "

Source: http://www.aafp.org/afp/20000115/family.html