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Hidradenitis suppurativa: a disease of follicular epithelium, rather than apocrine glands
Abstract
A retrospective study was made of the histopathology of axillary skin excised from 12 patients with hidradenitis suppurativa. In the majority of cases (10 out of 12), squamous epithelium-lined structures, in the form of cysts or sinuses were identified in the dermis. Laminated keratin was present in all these structures and half of the cysts also contained hair shafts, suggesting that they are derived from hair follicles. Only a small proportion of cases (4 out of 12) displayed inflammation in apocrine glands, and in these the inflammation was also seen around eccrine glands, hair follicles and the epithelium-lined structures. However, in cases where the epithelium of the 'cysts' was disrupted, the inflammatory infiltrate appeared to be centred around these areas. These observations suggest that the squamous epithelium-lined structures, which probably represent abnormal dilated hair follicles, are a more constant diagnostic feature in hidradenitis suppurativa than inflammation of apocrine glands which appears to be a secondary phenomenon.
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Citations
Cited by
Jemec, G. B. E. (2012) · New England Journal of Medicine · doi:10.1056/nejmcp1014163 · Cited by 817
Sabat, R., Jemec, G. B. E., Matusiak, Ł., Kimball, A. B., Prens, E., & Wolk, K. (2020) · Nature Reviews Disease Primers · doi:10.1038/s41572-020-0149-1 · Cited by 573
Revuz, J. (2009) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/j.1468-3083.2009.03356.x · Cited by 336
The natural history of hidradenitis suppurativa
Von Der Werth, J., & Williams, H. (2000) · Journal of the European Academy of Dermatology and Venereology · doi:10.1046/j.1468-3083.2000.00087.x · Cited by 318
Hidradenitis suppurativa: pathogenesis and management
Slade, D. E. M., Powell, B. W., & Mortimer, P. S. (2003) · British Journal of Plastic Surgery · doi:10.1016/s0007-1226(03)00177-2 · Cited by 290
Metadata
- Authors
- C.-W.YU, C., & COOK, M. G.
- Venue
- British Journal of Dermatology
- Publisher
- Oxford University Press (OUP)
- Published
- 1990-06
- Volume
- 122
- Issue
- 6
- Pages
- 763-769
- ISSN
- 0007-0963 (ISSN-L)
- 1365-2133
- OpenAlex
- W2064038850
- Cited by
- 302
- References
- 0
- FWCI
- 2.60
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Hidradenitis suppurativa: a disease of follicular epithelium, rather than apocrine glands. https://app.cochat.ai/papers/10.1111/j.1365-2133.1990.tb06264.x
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- C.-W.YU, C., & COOK, M. G. (1990). Hidradenitis suppurativa: a disease of follicular epithelium, rather than apocrine glands. British Journal of Dermatology. https://doi.org/10.1111/j.1365-2133.1990.tb06264.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
