Abstract
Aim: Pilonidal disease (PD) may present varyingly as asymptomatic disease, abscess forming disease (acute inflammation, retention, and pits/sinuses) or non-abscess forming disease (no acute retention, but intermittent or chronic draining of pus and pits/sinuses). Little is known about the etiology.
The aim of this study was to investigate differences between abscess-forming pilonidal disease and non-abscess forming pilonidal disease.
Method: Our study included consecutive patients referred for elective treatment for PD. All participants completed a series of questions including demographic data, PD history including previous surgery, family history of PD, occupation, smoking, BMI, and symptoms. The examining physician registered clinical data including pits (number), defects (size, number), secondary sinuses, involvement below the coccyx, pilosity (Ferriman-Gallwey Scale), and screening for hidradenitis supporativa.
Results: From October 2022 to April 2023, 219 patients were treated at our clinic. Non-abscess forming PD was registered in 136 cases (62.2% [95% CI 55.5–68.3]) and abscess-forming PD in 83 cases (37.8% [95% CI 31.6–44.4]). Chronic elements in abscess-forming PD presented with fewer pits (p = 0.003) and fewer defects (p < 0.001) and less involvement of the crena (3 cm (IQR 2–6) vs. 5 cm (IQR 3–7), p = 0.07) compared to the chronic elements in non-abscess forming disease. There were significantly more female patients (33% vs. 12%, p < 0.001) among abscess-forming PD. Patients with abscess-forming PD were older upon clinical visit (27 years (IQR 22;30) vs. 22 years (IRQ 18; 30) (p = 0.003)), but with a longer duration of symptoms (28 (IQR 25; 31) month vs. 18 (IQR 6; 36) months)). They also tended to have a higher BMI (p = 0.08) and were less hirsute on the lower back/buttocks (p = 0.015).
Conclusion: Distinguishing abscess vs. non-abscess pilonidal disease reveals clinical and patient differences. Sub-categorizing PD can address varied risk factors and prognosis. Further studies needed.
Disclosure of Interest: None declared.
The aim of this study was to investigate differences between abscess-forming pilonidal disease and non-abscess forming pilonidal disease.
Method: Our study included consecutive patients referred for elective treatment for PD. All participants completed a series of questions including demographic data, PD history including previous surgery, family history of PD, occupation, smoking, BMI, and symptoms. The examining physician registered clinical data including pits (number), defects (size, number), secondary sinuses, involvement below the coccyx, pilosity (Ferriman-Gallwey Scale), and screening for hidradenitis supporativa.
Results: From October 2022 to April 2023, 219 patients were treated at our clinic. Non-abscess forming PD was registered in 136 cases (62.2% [95% CI 55.5–68.3]) and abscess-forming PD in 83 cases (37.8% [95% CI 31.6–44.4]). Chronic elements in abscess-forming PD presented with fewer pits (p = 0.003) and fewer defects (p < 0.001) and less involvement of the crena (3 cm (IQR 2–6) vs. 5 cm (IQR 3–7), p = 0.07) compared to the chronic elements in non-abscess forming disease. There were significantly more female patients (33% vs. 12%, p < 0.001) among abscess-forming PD. Patients with abscess-forming PD were older upon clinical visit (27 years (IQR 22;30) vs. 22 years (IRQ 18; 30) (p = 0.003)), but with a longer duration of symptoms (28 (IQR 25; 31) month vs. 18 (IQR 6; 36) months)). They also tended to have a higher BMI (p = 0.08) and were less hirsute on the lower back/buttocks (p = 0.015).
Conclusion: Distinguishing abscess vs. non-abscess pilonidal disease reveals clinical and patient differences. Sub-categorizing PD can address varied risk factors and prognosis. Further studies needed.
Disclosure of Interest: None declared.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | PO-359 |
| Tidsskrift | Colorectal Disease |
| Vol/bind | 25 |
| Nummer | S2 |
| ISSN | 1462-8910 |
| DOI | |
| Status | Udgivet - okt. 2023 |
| Begivenhed | ESCP's 18th Scientific and Annual Conference - Vilnius, Lithuania, Vilnius, Litauen Varighed: 27 sep. 2023 → 29 sep. 2023 Konferencens nummer: 18 |
Konference
| Konference | ESCP's 18th Scientific and Annual Conference |
|---|---|
| Nummer | 18 |
| Lokation | Vilnius, Lithuania |
| Land/Område | Litauen |
| By | Vilnius |
| Periode | 27/09/2023 → 29/09/2023 |
Emneord
- Pilonidal disease
- Pilonidal sinus
- Pilonidal sygdom