Ultrasound Evaluation as a Complementary Test in Hidradenitis Suppurativa: Proposal of a Standarized Report

BACKGROUNDStaging and monitoring of patients with hidradenitis suppurativa (HS) have been traditionally based on clinical findings. However, the physical examination may show important limitations because of its poor sensitivity for differentiating between different lesion subtypes, and its low sens...

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Veröffentlicht in:Dermatologic surgery 2017-08, Vol.43 (8), p.1065-1073
Hauptverfasser: Martorell, Antonio, Wortsman, Ximena, Alfageme, Fernando, Roustan, Gaston, Arias-Santiago, Salvador, Catalano, Orlando, Scotto di Santolo, Maria, Zarchi, Kian, Bouer, Marcio, Gaitini, Diana, Gonzalez, Claudia, Bard, Robert, García-Martínez, F Javier, Mandava, Anitha
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container_end_page 1073
container_issue 8
container_start_page 1065
container_title Dermatologic surgery
container_volume 43
creator Martorell, Antonio
Wortsman, Ximena
Alfageme, Fernando
Roustan, Gaston
Arias-Santiago, Salvador
Catalano, Orlando
Scotto di Santolo, Maria
Zarchi, Kian
Bouer, Marcio
Gaitini, Diana
Gonzalez, Claudia
Bard, Robert
García-Martínez, F Javier
Mandava, Anitha
description BACKGROUNDStaging and monitoring of patients with hidradenitis suppurativa (HS) have been traditionally based on clinical findings. However, the physical examination may show important limitations because of its poor sensitivity for differentiating between different lesion subtypes, and its low sensitivity to define the diseaseʼs activity. OBJECTIVETo develop a consensus ultrasound (US) report that could summarize the relevant anatomical characteristics and staging of patients considering the experience of radiologists and dermatologists working on imaging of HS. METHODSA questionnaire on different aspects related to US examination in HS was performed. A working group, called DERMUS, composed of doctors from 9 countries who have been working in dermatologic US applied in patients with HS on a regular basis were included to evaluate the different items provided. RESULTSA consensus US report to evaluate HS patients was established. CONCLUSIONThe authors present the first attempt to define a HS standardized sonographic report. This model would be the first effort to include this imaging technique as the first elective medical test for staging and monitoring patients, which can support therapeutic decisions by providing earlier, objective, deeper, anatomical, and comparative evaluations in this difficult to treat disease.
doi_str_mv 10.1097/DSS.0000000000001147
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However, the physical examination may show important limitations because of its poor sensitivity for differentiating between different lesion subtypes, and its low sensitivity to define the diseaseʼs activity. OBJECTIVETo develop a consensus ultrasound (US) report that could summarize the relevant anatomical characteristics and staging of patients considering the experience of radiologists and dermatologists working on imaging of HS. METHODSA questionnaire on different aspects related to US examination in HS was performed. A working group, called DERMUS, composed of doctors from 9 countries who have been working in dermatologic US applied in patients with HS on a regular basis were included to evaluate the different items provided. RESULTSA consensus US report to evaluate HS patients was established. CONCLUSIONThe authors present the first attempt to define a HS standardized sonographic report. This model would be the first effort to include this imaging technique as the first elective medical test for staging and monitoring patients, which can support therapeutic decisions by providing earlier, objective, deeper, anatomical, and comparative evaluations in this difficult to treat disease.</description><identifier>ISSN: 1076-0512</identifier><identifier>EISSN: 1524-4725</identifier><identifier>DOI: 10.1097/DSS.0000000000001147</identifier><identifier>PMID: 28538033</identifier><language>eng</language><publisher>United States: by the American Society for Dermatologic Surgery, Inc. Published by Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Hidradenitis Suppurativa - diagnostic imaging ; Humans ; Severity of Illness Index ; Surveys and Questionnaires ; Ultrasonography - standards</subject><ispartof>Dermatologic surgery, 2017-08, Vol.43 (8), p.1065-1073</ispartof><rights>2017 by the American Society for Dermatologic Surgery, Inc. 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However, the physical examination may show important limitations because of its poor sensitivity for differentiating between different lesion subtypes, and its low sensitivity to define the diseaseʼs activity. OBJECTIVETo develop a consensus ultrasound (US) report that could summarize the relevant anatomical characteristics and staging of patients considering the experience of radiologists and dermatologists working on imaging of HS. METHODSA questionnaire on different aspects related to US examination in HS was performed. A working group, called DERMUS, composed of doctors from 9 countries who have been working in dermatologic US applied in patients with HS on a regular basis were included to evaluate the different items provided. RESULTSA consensus US report to evaluate HS patients was established. CONCLUSIONThe authors present the first attempt to define a HS standardized sonographic report. This model would be the first effort to include this imaging technique as the first elective medical test for staging and monitoring patients, which can support therapeutic decisions by providing earlier, objective, deeper, anatomical, and comparative evaluations in this difficult to treat disease.</description><subject>Hidradenitis Suppurativa - diagnostic imaging</subject><subject>Humans</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Ultrasonography - standards</subject><issn>1076-0512</issn><issn>1524-4725</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtP3TAQRi1UBBT4B6jysptQvxIn3aHLqxISiHtZR5N4IgJOHGwHBL8eVxcQYoE348X55nEIOeDskLNK_zleLg_Zp8e50htkh-dCZUqL_Ef6M11kLOdim_wM4S4xopJsi2yLMpclk3KH3N_Y6CG4eTT05BHsDLF3I4VAgS7cMFkccIzgn-kKQ6T9SM9748Hg2Mc-0OU8TbNPmUf4S6-8m1wAS12X0ssIowHfv6Ch1zg5H_fIZgc24P5b3SWr05PV4jy7uDz7tzi6yFqZFzrTJmdlBwoka1vZKFWIUiolOBaVwbR6A03F8sbwSnUdMwxAFLJVWhtMHuQu-b1uO3n3MKet66EPLVoLI7o51LxiQpUyL3VC1RptvQvBY1dPvh_StTVn9X_LdbJcf7WcYr_eJszNgOYj9K41AeUaeHI2og_3dn5CX98i2Hj7fe9XK46Jsg</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Martorell, Antonio</creator><creator>Wortsman, Ximena</creator><creator>Alfageme, Fernando</creator><creator>Roustan, Gaston</creator><creator>Arias-Santiago, Salvador</creator><creator>Catalano, Orlando</creator><creator>Scotto di Santolo, Maria</creator><creator>Zarchi, Kian</creator><creator>Bouer, Marcio</creator><creator>Gaitini, Diana</creator><creator>Gonzalez, Claudia</creator><creator>Bard, Robert</creator><creator>García-Martínez, F Javier</creator><creator>Mandava, Anitha</creator><general>by the American Society for Dermatologic Surgery, Inc. 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However, the physical examination may show important limitations because of its poor sensitivity for differentiating between different lesion subtypes, and its low sensitivity to define the diseaseʼs activity. OBJECTIVETo develop a consensus ultrasound (US) report that could summarize the relevant anatomical characteristics and staging of patients considering the experience of radiologists and dermatologists working on imaging of HS. METHODSA questionnaire on different aspects related to US examination in HS was performed. A working group, called DERMUS, composed of doctors from 9 countries who have been working in dermatologic US applied in patients with HS on a regular basis were included to evaluate the different items provided. RESULTSA consensus US report to evaluate HS patients was established. CONCLUSIONThe authors present the first attempt to define a HS standardized sonographic report. 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subjects Hidradenitis Suppurativa - diagnostic imaging
Humans
Severity of Illness Index
Surveys and Questionnaires
Ultrasonography - standards
title Ultrasound Evaluation as a Complementary Test in Hidradenitis Suppurativa: Proposal of a Standarized Report
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