Hidradenitis suppurativa of the breast during pregnancy: Presentation and management of an unusual complication

Joint Conference on 6^th International Conference on Clinical & Medical Case Reports & 11^th Global Healthcare & Fitness Summit

October 16-18, 2017 San Francisco, USA

Selyne E Samuel, Abigail Mowry Tremelling and Mary M. Murray

Cleveland Clinic Akron General, USA

Scientific Tracks Abstracts: J Clin Case Rep

Abstract :

A 26 week G1 P0 36 year old AA woman with a 30 year history of hidradenitis suppurativa (HS) presented with lesions in her axilla, groin and breasts. Her condition was recalcitrant to steroid injections, TNF blocker, antibiotics and incision and drainage. On this presentation, she had numerous active, infected large interconnected lesions in her right breast. The decision was made to perform total excision of the infected area in the right breast. She underwent primary closure of the wound one week after excision. She is currently 39 weeks pregnant and has done well since the excision without recurrence in her breast or anywhere else in her body. In this patient, definitive but conservative pre-partum treatment was necessary to avoid milk fistula or chronic abscess formation, as the patient's desire was successful postpartum lactation. Our approach was successful.

Biography :

Selyne Samuel completed her MD at Indiana University School of Medicine and completed her General Surgery training at the University of Arizona. She is currently a breast surgery fellow at Cleveland Clinic Akron General in Ohio under the leadership of program director, Dr. Mary Murray.