Ultrasound Diagnosis and Staging in Pediatric Hidradenitis Suppurativa.
Hidradenitis suppurativa (HS) can affect children, and ultrasound has been proven to be useful in diagnosis and staging. The sonographic characteristics of HS in children have not been reported. We studied color Doppler ultrasound images of children (≤15 years old; n = 12) with clinically and sonographically positive criteria for HS. Sonographic scoring of hidradenitis suppurativa (SOS-HS) was used to stage the cases sonographically. Subclinical pseudocysts were found in 92% of the cases, fluid collections in 83%, and fistulous tracts in 58%. Retained hair tracts in the fluid collections and fistulous tracts were present in 100% of patients; 67% of cases were SOS-HS stage II. In 92% of cases, management was modified after the ultrasound examination. In conclusion, ultrasound can be a reliable and safe imaging tool to support diagnosis and staging and may help in the noninvasive monitoring of treatment in children.
Department of Radiology, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Clinica Servet, Faculty of Medicine, University of Chile, Santiago, Chile.|Depertment of Dermatology, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues, Clinica Servet, Faculty of Medicine, University of Chile, Santiago, Chile.
Ximena
X
Wortsman
Department of Dermatology, Centro Referencia Cordillera and Clinica Orlandi, Santiago, Chile.
Carolyn
C
Rodriguez
Department of Dermatology, Clinica Las Condes, Santiago, Chile.
Carolina
C
Lobos
Department of Dermatology, Clinica Las Condes, Santiago, Chile.
Gonzalo
G
Eguiguren
Department of Dermatology, Hospital Clinico Universidad de Chile, Faculty of Medicine, University of Chile, Santiago, Chile.
Maria Teresa
MT
Molina
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D017497:Hidradenitis Suppurativa / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008297:Male; D010372:Pediatrics; D012189:Retrospective Studies; D012720:Severity of Illness Index; D018615:Ultrasonography, Doppler, Color / Q000379:methods*