Hidradenitis Supurativa - G. Jemec, et al., (Springer, 2006) WW.pdf

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Hidradenitis
7ITHÈÈ&IGURESÈANDÈÈ4ABLES
Suppurativa
Gregor B. E. Jemec, MD, DMedSc
University of Copenhagen
Roskilde Hospital
Department of Dermatology
Køgevej 7–13
4000 Roskilde, Denmark
Jean Revuz, MD, DMedSc
CHU Henri Mondor
Service Dermatologie
Avenue Marechal de Lattre de Tassigny 51
94010 Créteil CX, France
James J. Leyden, MD
University Hospital of Pennsylvania
Department of Dermatology
Spruce Street 3400
19104 Philadelphia, USA
Library of Congress Control Number: 2006928941
ISBN-10 3-540-33100-X Springer Berlin Heidelberg New York
ISBN-13 978-3-540-33100-1 Springer Berlin Heidelberg New York
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Borut
#ONTENTS
6))
Preface
This is the first and most comprehensive book
dedicated to the understanding and treatment
of hidradenitis suppurativa. The most recent
monograph on this disease was Dr Benedek’s
supplement to Acta Dermatovenerologica in
1957 (1)! The long interval has not been justified
by a benign nature or quiet disposition of the
disease. This is a common and debilitating dis-
ease that significantly reduces the quality of life
for patients. In spite of this it has not achieved a
deserved level notoriety and scientific interest,
but remains an obscure an ill-understood men-
ace to the patients.
There may be several reasons for this neglect.
One reason may be that it is has been described
as a ‘heart sink’ disease, both for patients and
physicians alike. Patients often find it a debili-
tating and embarrassing disease with a high de-
gree of morbidity; and at the same time treating
physicians generally find it a difficult disease to
treat. Patients therefore hide their disease and
chose to suffer in silence rather than to seek
help. Physicians similarly often adopt a reduc-
tionist approach rather than seeking insight in
the face of the clinical challenge. Finally, it may
be that it is only now that a sufficient college of
experts have gathered.
It is therefore our hope that this book will be
of benefit to the many patients; and of inspira-
tion and insight to the many different specialists
treating the disease. We have adopted an open,
exploratory approach to the topic, rather than a
normative one. We have invited recognised ex-
perts to give their opinion and interpretation of
the disease, and left our own point of view to the
chapters summarizing pathogenesis and thera-
py. At points you may therefore find discussions
of e.g. apocrine glands with which the editors
may disagree, but rather than suppress informa-
tion we have sought to stimulate and inspire an
an open dialogue. The book is intended for both
concrete factual information, as well as inspira-
tion for further studies of aetiology, pathogen-
esis and therapy.
We would like to thank our colleagues for
generously sharing their insight and knowledge.
We would also like to thank Ms Ellen Nissen for
providing expert translation from French, the
anonymous patients for sharing their stories
and our publisher for a smooth and efficient
cooperation.
Gregor B.E. Jemec
Roskilde, Denmark
Jean Revuz
Paris, France
James Leyden
Philadelphia, USA
Summer 2006
1. Benedek T. Hidradenitis suppurativa. Its etiology,
pathogenesis and specific vaccine therapy. Acta Derm
Venerol (Stockholm) 1957; 37(Suppl. 37): 3–47.
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