462-67 |Color Doppler and Microvascular Flow Imaging to Evaluate the Degree of Inflammation in a case of Hidradenitis Suppurativa-Color Doppler and Microvascular Flow Imaging to Evaluate the Degree of Inflammation in a case of Hidradenitis Suppurativa

Color Doppler and Microvascular Flow Imaging to Evaluate the Degree of Inflammation in a case of Hidradenitis Suppurativa

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This case report discusses the use of ultrasound imaging, specifically color Doppler imaging (CDI) and microvascular flow imaging (MVFI), for the evaluation of a patient with hidradenitis suppurativa (HS), a chronic skin disease characterized by nodules, abscesses, and sinus tracts. The patient presented with a painful nodule in the left inguinal region that had not responded to previous treatments. Ultrasound examination revealed widening of hair follicles, thickening of the dermis, and a fluid collection in the affected area. CDI showed both peripheral and central vascularity, and MVFI confirmed the intense vascular signal and provided better visualization of the microvascular architecture of the abscess formation. Additionally, a reactive lymphadenopathy was detected near the lesion. The patient had a BMI of 28 and was a smoker, which are both risk factors for HS. The combination of clinical parameters and ultrasound findings allowed for the diagnosis of HS (Hurley Stage I, SOS-HS I). The authors suggest that MVFI could be a useful tool in addition to CDI for assessing the degree of inflammation and evaluating vascular architecture in patients with HS. The study highlights the potential of ultrasound imaging in the diagnosis, staging, and follow-up of HS.

Keywords

ultrasound imaging

color Doppler imaging

microvascular flow imaging

hidradenitis suppurativa

chronic skin disease

abscesses

sinus tracts

inguinal region

dermis thickening

fluid collection