A new surgical treatment of acne conglobata (bucket-handle flap)
Tóm tắt
We present the case of a 35-year-old man suffering from severe acne conglobata with significant discharge causing social discomfort and problems for 15 years who was treated with a new surgical technique. There were no complications or recurrence during a 2-year follow-up period. The advantages of this surgical technique are as follows: it does not require a secondary donor site; the flaps have good vascular supply; and it is easy and less time consuming to perform when there is good surgical exposure. The bipedicled random pattern flap (bucket-handle flap) is an alternative surgical technique for cases of acne conglobata which are resistant to medical treatment especially in the gluteal region.
Tài liệu tham khảo
Akers WA, et al (1975) Systemic antibiotics for treatment of acne vulgaris: efficacy and safety. Arch Dermatol 111:1630
Atanackovic G, Koren G (1999) Fetal exposure to oral isotretinoin: failure to comply with the pregnancy prevention program. Can Med Assoc J 15:160:1719–1720
Brunsting HA (1952) Hidradenitis and other variants of acne. Arch Dermatol Syphilis 65:303
Camisa C (1984) Squamous cell carcinoma arising in acne conglobata. Cutis 33:185
Chicarilli ZN (1987) Follicular occlusion triad: hidradenitis suppurativa, acne conglobata, and dissecting cellulitis of the scalp. Ann Plast Surg 18:230
Dicken CH, Powell ST, Spear KL (1984) Evaluation of isotretinoin treatment of hidradenitis suppurativa. J Am Acad Dermatol 11:500
Donsky HJ, Mendelson CG (1964) Squamous cell carcinoma as a complication of hidradenitis suppurativa. Arch Dermatol 90:488
Goeckerman WJ (1951) A case of perifollicularis capitis abscedens et suffodiens, cutis vertices gyrata, hydradenitis. Plast Reconst Surg 7:143
Gogler VH (1989) Zur chirurgischen Therapie der schweren Akne conglobata. Zentralbl Chir 114:13
Jamieson NV (1982) Squamous cell carcinoma arising in a pilonidal sinus presenting with the formation of an abscess. Postgrad Med J 58:720
Kallen B (1999) Restriction of the use of drugs with teratogenic properties: Swedish experiences with isotretinoin. Teratology 60:53
Leyden JJ (1998) The role of isotretinoin in the treatment of acne: personal observations J Am Acad Dermatol 39:45–49
Leyden JJ, Mills OH, Kligman AM (1974) Cryoprobe treatment of acne conglobata. Br J Dermatol 90:335
Nau H (2001) Teratogenicity of isotretinoin revisited: species variation and the role of all-trans-retinoic acid. J Am Acad Dermatol 45:183–187
Perlman SE, Leach EE, Dominguez L, et al (2001) "Be smart, be safe, be sure." The revised Pregnancy Prevention Program for women on isotretinoin. J Reprod Med 46 (Suppl 2):179–185
Sedlin ED, Fleming JL (1963) Epidermoid carcinoma arising in chronic osteomyelitic foci. J Bone Joint Surg 45:827
Shalita AR, Cunningham WJ, Leyden JJ, et al (1983) Isotretinoin treatment of acne and related disorders: an update. J Am Acad Dermatol 9:629
Spitzer L (1901) Dermatitis follicularis et perifollicularis conglobata. Dermatol Z 10:8
Strauss JS, Thiboutot DM (1999) Disease of the Sebaceous Glands. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Katz SI, Fitzpatrick TB (Eds) Fitzpatrick's dermatology in general medicine, vol.1, 5th edn. McGraw-Hill, New York, pp 769–783
Sulzberger MB, et al (1946) Tropical acne. Med Bull US Navy 46:1178
Wysowski DK, Swann J, Vega A (2002) Use of isotretinoin (Accutane) in the United States: rapid increase from 1992 through 2000. J Am Acad Dermatol 46:505–509