Hidradenitis suppurativa (HS) can affect children, and ultrasound has been proven to be useful in diagnosis and staging. The sonographic characteristics of HS in children have not been reported. We studied color Doppler ultrasound images of children (<= 15 years old; n = 12) with clinically and sonographically positive criteria for HS. Sonographic scoring of hidradenitis suppurativa (SOS-HS) was used to stage the cases sonographically. Subclinical pseudocysts were found in 92% of the cases, fluid collections in 83%, and fistulous tracts in 58%. Retained hair tracts in the fluid collections and fistulous tracts were present in 100% of patients; 67% of cases were SOSHS stage II. In 92% of cases, management was modified after the ultrasound examination. In conclusion, ultrasound can be a reliable and safe imaging tool to support diagnosis and staging and may help in the noninvasive monitoring of treatment in children.
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机译：化脓性汗腺炎（HS）会影响儿童，超声已被证明可用于诊断和分期。儿童HS的超声特征尚未见报道。我们研究了儿童（<= 15岁; n = 12）的彩色多普勒超声图像，这些图像具有HS的临床和超声检查阳性标准。化脓性汗腺炎的超声评分（SOS-HS）用于对病例进行超声检查。在92％的病例中发现了亚临床假性囊肿，在83％的病例中发现了积液，在58％的病例中发现了瘘管。 100％的患者存在积液和瘘管中残留的毛发。 67％的病例为SOSHS II期。在92％的病例中，超声检查后改变了治疗方法。总之，超声可以成为支持诊断和分期的可靠且安全的成像工具，并可能有助于对儿童的治疗进行无创监测。
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