摘要

Objectives: - the importance of early treatment of this disease -the importance of multidisciplinary approach -the financial impact of this disease on the public health system Introduction: Hidrosadenitis supurativa represents a disease with a relatively low prevalence and different degrees of severity. The treatment is often multimodal, both medical and surgical. The patient that presented to our clinic had an involvement of approximately 10% body surface area - axillas, lumbar regions, buttocks, perineum and inguinal regions bilaterally. A team of general surgeons, dermatologists, nutritionists, gastroenterologists and psychiatrists coordinated by the plastic surgeon treated the patient Materials / method: personal case Results: The treatment of the patient lasted about 4 months. He underwent a colostomy, multiple debridement sessions and multiple skin grafts. During his hospitalisation he developed several complications: depression, pneumothorax, recurrent infections and an acute pancreatitis. The dressings were changed every other day under general anesthesia. For months later all the wounds completely healed, but the scarring remains severe - the complete abduction of one arm is impossible Conclusion: Hidrosadenitis supurativa although it remains a rare disease has a huge impact of the patient life both in the short and in the long run. Moreover, the financial impact of the public health system is non negligible. The key of a successful management remains the early multidisciplinary treatment.