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]
Entire Body System
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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]
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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]
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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]
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Swelling
Pilonidal disease Other names Pilonidal cyst, pilonidal abscess, pilonidal sinus, sacrococcygeal fistula Pilonidal cysts of sudden onset in the upper gluteal cleft Specialty General surgery, emergency medicine Symptoms Pain, swelling, redness, drainage [en.wikipedia.org]
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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]
Skin
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Sweating
Some researchers have proposed that pilonidal cysts may be caused by a congenital pilonidal dimple. [10] Excessive sweating can also contribute to the formation of a pilonidal cyst: moisture can fill a stretched hair follicle, which helps create a low-oxygen [en.wikipedia.org]
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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]
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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]
Neurologic
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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]
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Neglect
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]
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]
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]
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]