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Fulminant Perineal Boils | Open Access Journals
Journal of Inflammatory Bowel Diseases & Disorders

Journal of Inflammatory Bowel Diseases & Disorders

ISSN: 2476-1958

Open Access

Fulminant Perineal Boils

Common referral for surgical care is lumps and bumps. Here, we discuss a less common cause of extensive perianal and perineal abscess. The case is of a 70 year old diabetic male who presents with an increasingly painful perineum. He is not overweight, but smokes heavily, and suffers from a long history (22 years) of recurrent flares of suppurative perineal cellulitis. The affected skin was scarred, hyper pigmented. Laboratory parameters demonstrated white cell count and high C-reactive protein. Computed tomographic (CT) imaging was performed to exclude necrotizing fasciitis , which demonstrated localized superficial skin induration without crossing of fascia planes.  Histological features revealed chronic inflammatory infiltrate and granulation tissue. Clinical and pathological correlation led to a diagnosis of perineal hidradenitis.

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