Surgery>>>>>The Skin and Subcutaneous Tissue
Question 21#

The chronic inflammatory disease presenting as painful subcutaneous nodules is:

A. Pyoderma gangrenosum
B. Toxic epidermal necrolysis syndrome
C. Hidradenitis suppurative
D. Steven-Johnson syndrome

Correct Answer is C

Comment:

Hidradenitis suppurativa is a chronic inflammatory disease presenting as painful subcutaneous nodules. Patients experience appreciable physical, psychological, and economical hardship and decreased quality of life when compared with patients who suffer from other chronic dermatologic disease such as psoriasis and alopecia. It is characterized by multiple abscesses, inter-networking sinus tracts, foul-smelling exudate from draining sinuses, inflammation in the dermis, both atrophic and hypertrophic scars, ulceration, and infection, which may extend deep into the fascia. The diagnosis is made clinically without the need for imaging or laboratory tests.