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Pilonidal Disease

Pilonidal Cyst


Presentation

  • We reviewed studies based on a shared cohort of patients who presented at German military hospitals with PSD.[ncbi.nlm.nih.gov]
  • "PILUS" (hair) and "Nidus" (nest) 1 designates the basic condition although many pilonidal cysts may not contain hair and any hair present may originate from an extrinsic source.[jamanetwork.com]
  • Affected patients are typically in their middle to late 20s and have had symptoms for 4 to 5 years at initial presentation. 5, 8 The majority of patients present with an acute abscess cephalad in the natal cleft.[ncbi.nlm.nih.gov]
Surgical Procedure
  • It was first proposed by Maurice and Greenwood in 1964 as an alternative to more extensive surgical procedures.[ncbi.nlm.nih.gov]
  • Recorded instances include patients with continued post-operative pain for years following the surgical procedure.[en.wikipedia.org]
Pain
  • A pilonidal cyst is usually painful, but with draining the patient might not feel pain.[en.wikipedia.org]
  • […] anorectal problem that may arise in one of three forms: Acute abscess Sinus tracts Complex disease characterized by chronic or recurrent abscesses with extensive, branching sinus tracts Symptoms related to pilonidal abscess include fever, chills, and pain[ncbi.nlm.nih.gov]
Fever
  • Pilonidal disease is a type of skin infection which typically occurs as a cyst between the cheeks of the buttocks and often at the upper end. [1] [3] Symptoms may include pain, swelling, and redness. [1] There may also be drainage of fluid, but rarely a fever[en.wikipedia.org]
  • […] disease is a common anorectal problem that may arise in one of three forms: Acute abscess Sinus tracts Complex disease characterized by chronic or recurrent abscesses with extensive, branching sinus tracts Symptoms related to pilonidal abscess include fever[ncbi.nlm.nih.gov]
Inflammation
  • Trauma is not believed to cause a pilonidal cyst; however, such an event may result in inflammation of an existing cyst; there are cases where this can occur months after a localized injury to the area.[en.wikipedia.org]
Asymptomatic
  • […] purulent) or bloody discharge from the tailbone area Unexpected moisture in the tailbone region Discomfort sitting on the tailbone, doing sit-ups or riding a bicycle—any activities that roll over the tailbone area Some people with a pilonidal cyst will be asymptomatic[en.wikipedia.org]
Pruritus
  • A series of 21 patients followed up for an average of 28 months showed considerable morbidity, including hypesthesia in nearly every patient, and only 67% overall satisfaction. 43, 44 Patients frequently complained of discomfort, pruritus, and poor cosmesis[ncbi.nlm.nih.gov]
Hirsutism
  • 100,000 people was calculated by Sondenaa and others in a study of 322 patients with pilonidal disease. 5 It is, however, more common in young adult men, a population with an incidence of 1.1%. 6 Men are thought to be at higher risk because of their more hirsute[ncbi.nlm.nih.gov]
Irritability
  • It also flattens the cleft, reducing hair accumulation and mechanical irritation.[ncbi.nlm.nih.gov]
  • The condition was termed "Jeep seat" or " Jeep riders' disease", because a large portion of people who were being hospitalized for it rode in Jeeps, and prolonged rides in the bumpy vehicles were believed to have caused the condition due to irritation[en.wikipedia.org]

Treatment

  • This complex variant of the disease may stem from prolonged neglect of symptoms but also occurs despite appropriate treatment. TREATMENT Treatment of pilonidal disease depends on the presentation.[ncbi.nlm.nih.gov]
  • Kanerva 2000, p. 821 External links [ edit ] NHS Choices for pilonidal sinus treatment[en.wikipedia.org]
  • The effect of the morphology of the sinus, perioperative protocol, and aftercare of the surgical treatment on the recurrence of PSD were evaluated.[ncbi.nlm.nih.gov]
  • Medical literature contains many articles on etiology, pathology, diagnosis, and treatment. Pilonidal disease, although first described by Anderson 2 in 1847, drew little attention for nearly 100 years.[jamanetwork.com]
  • Easy and successful treatment of pilonidal sinus after explanation of its causative process. ANZ J Surg 1992; 62: 385-389 13 Käser SA, Zengaffinen R, Uhlmann M. et al.[thieme-connect.de]

Prognosis

  • Prognosis after simple incision and drainage for a first-episode acute pilonidal abscess. Br J Surg. 1988; 75 :60–61. [ PubMed ] [ Google Scholar ] 11. Odili J, Gault D. Laser depilation of the natal cleft—an aid to healing the pilonidal sinus.[ncbi.nlm.nih.gov]

Etiology

  • Medical literature contains many articles on etiology, pathology, diagnosis, and treatment. Pilonidal disease, although first described by Anderson 2 in 1847, drew little attention for nearly 100 years.[jamanetwork.com]
  • The etiology of pilonidal disease as a foreign body reaction is supported by histological examination.[ncbi.nlm.nih.gov]

Epidemiology

  • EPIDEMIOLOGY An incidence of 26 cases per 100,000 people was calculated by Sondenaa and others in a study of 322 patients with pilonidal disease. 5 It is, however, more common in young adult men, a population with an incidence of 1.1%. 6 Men are thought[ncbi.nlm.nih.gov]
Sex distribution
Age distribution

Prevention

  • [2] Risk factors Obesity, family history, prolonged sitting, greater amounts of hair, not enough exercise [2] Diagnostic method Based on symptoms and examination [2] Differential diagnosis Hidradenitis suppurativa, perianal abscess, folliculitis [2] Prevention[en.wikipedia.org]
  • To prevent recurrences in this series, the authors attempted to flatten the natal cleft by deepithelializing the medial end of the flap and folding it under itself to fill in the wound defect.[ncbi.nlm.nih.gov]

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