Refractory Hidradenitis Suppurativa: A Diagnosis to Consider

Abstract Hidradenitis suppurativa is a chronic inflammatory disease associated with multiple comorbidities, and its association with lymphoma has recently been a topic of debate. However, it is still controversial whether this risk can be attributed to the disease itself or whether it has any relationship with immunosuppressive treatment. Here, we describe the case of a patient with severe perianal hidradenitis suppurativa treated with methotrexate and infliximab, whose exacerbation with persistence of severe symptoms refractory to adequate treatment led to the diagnosis of diffuse large non-Hodgkin B-cell lymphoma. It was decided to perform a colostomy to improve perianal sepsis, and immunochemotherapy was proposed.

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Bibliographic Details
Main Authors: Saraiva,Rita Ornelas, Saunders,Christopher, Santos,Margarida Varela dos, Carvalho,Diana, Loureiro,Rafaela, Ramos,Jaime
Format: Digital revista
Language:English
Published: Sociedade Portuguesa de Gastrenterologia 2024
Online Access:http://scielo.pt/scielo.php?script=sci_arttext&pid=S2341-45452024000100060
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