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Considering hidradenitis suppurativa as a bacterial biofilm disease

Considering hidradenitis suppurativa as a bacterial biofilm disease
Considering hidradenitis suppurativa as a bacterial biofilm disease
Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the skin that results in a relapsing course of painful draining sinuses and abscesses. The disease manifests largely in the apocrine-gland bearing regions of the body (axillary, inguinal and anogenital areas) and is usually treated by antibiotics and/or surgery. The exact pathogenesis of HS is still in dispute but likely multifactorial; in some instances, a genetic component has been demonstrated. While much attention has been given to the cellular and molecular biology of the host tissues affected by HS, rather less has been given to the bacteria involved (most commonly Staphylococci or Streptococci). We note that the characteristics of HS comport exactly with the features of bacterial biofilm-based infections, and examined a case where HS of the buttocks had progressed to an advanced stage. Physical examination of the sinus tracks at surgery revealed a mucinous accumulation consistent with biofilm formation. Confocal microscopic examination using Live/Dead staining revealed clusters of bacteria attached to the sinus luminal surfaces. The paradigmatic clinical features of HS, coupled with the adherent bacterial communities we observe here, suggest that HS should be considered in the expanding spectrum of bacterial biofilm-based disorders.
0928-8244
Kathju, Sandeep
80cdb7ee-2e0d-4e70-98c9-93682ce05a09
Lasko, Leslie-Ann
ebb30e0c-c716-448e-8ff8-dba4a119f9cc
Stoodley, Paul
08614665-92a9-4466-806e-20c6daeb483f
Kathju, Sandeep
80cdb7ee-2e0d-4e70-98c9-93682ce05a09
Lasko, Leslie-Ann
ebb30e0c-c716-448e-8ff8-dba4a119f9cc
Stoodley, Paul
08614665-92a9-4466-806e-20c6daeb483f

Kathju, Sandeep, Lasko, Leslie-Ann and Stoodley, Paul (2012) Considering hidradenitis suppurativa as a bacterial biofilm disease. FEMS Immunology & Medical Microbiology. (doi:10.1111/j.1574-695X.2012.00946.x). (PMID:22353357)

Record type: Article

Abstract

Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the skin that results in a relapsing course of painful draining sinuses and abscesses. The disease manifests largely in the apocrine-gland bearing regions of the body (axillary, inguinal and anogenital areas) and is usually treated by antibiotics and/or surgery. The exact pathogenesis of HS is still in dispute but likely multifactorial; in some instances, a genetic component has been demonstrated. While much attention has been given to the cellular and molecular biology of the host tissues affected by HS, rather less has been given to the bacteria involved (most commonly Staphylococci or Streptococci). We note that the characteristics of HS comport exactly with the features of bacterial biofilm-based infections, and examined a case where HS of the buttocks had progressed to an advanced stage. Physical examination of the sinus tracks at surgery revealed a mucinous accumulation consistent with biofilm formation. Confocal microscopic examination using Live/Dead staining revealed clusters of bacteria attached to the sinus luminal surfaces. The paradigmatic clinical features of HS, coupled with the adherent bacterial communities we observe here, suggest that HS should be considered in the expanding spectrum of bacterial biofilm-based disorders.

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More information

Published date: 21 February 2012
Organisations: nCATS Group

Identifiers

Local EPrints ID: 301360
URI: http://eprints.soton.ac.uk/id/eprint/301360
ISSN: 0928-8244
PURE UUID: 79c8ec26-0e9d-49aa-87a8-7c9d517c8eb7
ORCID for Paul Stoodley: ORCID iD orcid.org/0000-0001-6069-273X

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Date deposited: 01 Mar 2012 11:46
Last modified: 15 Mar 2024 03:34

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Contributors

Author: Sandeep Kathju
Author: Leslie-Ann Lasko
Author: Paul Stoodley ORCID iD

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