Presentation
We reviewed studies based on a shared cohort of patients who presented at German military hospitals with PSD. [ncbi.nlm.nih.gov]
"PILUS" (hair) and "Nidus" (nest) 1 designates the basic condition although many pilonidal cysts may not contain hair and any hair present may originate from an extrinsic source. [jamanetwork.com]
Skin
- Pruritus
A series of 21 patients followed up for an average of 28 months showed considerable morbidity, including hypesthesia in nearly every patient, and only 67% overall satisfaction. 43, 44 Patients frequently complained of discomfort, pruritus, and poor cosmesis [ncbi.nlm.nih.gov]
Treatment
This complex variant of the disease may stem from prolonged neglect of symptoms but also occurs despite appropriate treatment. TREATMENT Treatment of pilonidal disease depends on the presentation. [ncbi.nlm.nih.gov]
[…] for surgical treatment is for the cyst to be surgically excised (along with pilonidal sinus tracts). [en.wikipedia.org]
Medical literature contains many articles on etiology, pathology, diagnosis, and treatment. Pilonidal disease, although first described by Anderson 2 in 1847, drew little attention for nearly 100 years. [jamanetwork.com]
Easy and successful treatment of pilonidal sinus after explanation of its causative process. ANZ J Surg 1992; 62: 385-389 13 Käser SA, Zengaffinen R, Uhlmann M. et al. [thieme-connect.de]
Prognosis
Prognosis after simple incision and drainage for a first-episode acute pilonidal abscess. Br J Surg. 1988; 75 :60–61. [ PubMed ] [ Google Scholar ] 11. Odili J, Gault D. Laser depilation of the natal cleft—an aid to healing the pilonidal sinus. [ncbi.nlm.nih.gov]
Etiology
Medical literature contains many articles on etiology, pathology, diagnosis, and treatment. Pilonidal disease, although first described by Anderson 2 in 1847, drew little attention for nearly 100 years. [jamanetwork.com]
The etiology of pilonidal disease as a foreign body reaction is supported by histological examination. [ncbi.nlm.nih.gov]
Epidemiology
EPIDEMIOLOGY An incidence of 26 cases per 100,000 people was calculated by Sondenaa and others in a study of 322 patients with pilonidal disease. 5 It is, however, more common in young adult men, a population with an incidence of 1.1%. 6 Men are thought [ncbi.nlm.nih.gov]
Prevention
[2] Risk factors Obesity, family history, prolonged sitting, greater amounts of hair, not enough exercise [2] Diagnostic method Based on symptoms and examination [2] Differential diagnosis Hidradenitis suppurativa, perianal abscess, folliculitis [2] Prevention [en.wikipedia.org]
To prevent recurrences in this series, the authors attempted to flatten the natal cleft by deepithelializing the medial end of the flap and folding it under itself to fill in the wound defect. [ncbi.nlm.nih.gov]