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High resolution soft tissue ultrasound is a useful tool for characterizing the findings of hidradenitis suppurativa (HS). We present a series of 27 patients with a clinical diagnosis of SS who underwent high-resolution ultrasound. Objetives: To describe the most frequent ultrasound findings in patients with HS. Establish the ultrasound Hurley staging. Describe the clinically non-evident ultrasound findings of the disease. Identify the inflammatory activity of HS by using Doppler analysis. Methods: It is a retrospective, descriptive study. High resolution ultrasound was performed by a radiologist with an expert in dermatological ultrasound. A TOSHIBA XARIO 200 equipment with a high-resolution linear transducer from 18 to 22 MHz was used. The registration was carried out in a unified report created for the study based on the report suggested by the DERMUS group of which the researcher is a part. For the statistical analysis, measures of central tendency, description of frequencies and crossing of variables were used. Results: The average age was 44.7 years. 74.1% of the patients were women. The most affected body area was the armpits, 55.5%. The most common ultrasound finding was the presence of fistulas. An increase in vascularization was found on Doppler analysis in 80% of the fistulas, indicating inflammatory activity. Hurley Stage I was found in 37.04% Conclusion: Ultrasound revealed hidden fistulas in 29.6% of the patients that led to modifying the clinical staging of the disease. Ultrasonography is an important method for the correct management of patients with HS.

revista de la asociación colombiana de dermatología y cirugía dermatológica/revista de la asociacion colombiana de dermatologia y cirugia dermatologica

Hidradenitis supurativa. Descripción de los hallazgos ecográficos en un centro de referencia en Bogotá, Colombia