Hurley 分类[4]Hurley H. Axillary hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa, and familial benign pemphigus. In: Roenigk RH, Roenigk HH Jr, eds. Dermatologic surgery: principles and practice. New York, NY: Marcel Dekker; 1989:729-739.[5]Kim WB, Sibbald RG, Hu H, et al. Clinical features and patient outcomes of hidradenitis suppurativa: a cross-sectional retrospective study. J Cutan Med Surg. 2016;20:52-57.http://journals.sagepub.com/doi/full/10.1177/1203475415602840http://www.ncbi.nlm.nih.gov/pubmed/26318545?tool=bestpractice.com[6]Martorell A, García-Martínez FJ, Jiménez-Gallo D, et al. An update on hidradenitis suppurativa (part I): epidemiology, clinical aspects, and definition of disease severity. Actas Dermosifiliogr. 2015;106:703-715.http://www.actasdermo.org/en/an-update-on-hidradenitis-suppurativa/articulo/S1578219015002437/http://www.ncbi.nlm.nih.gov/pubmed/26254550?tool=bestpractice.com
HS 严重程度划分可依据炎症皮损和瘢痕的结构。该划分法由 Harry Hurley 创立并已广泛应用,在病情初始阶段对疾病严重程度进行分层。它有助于指导治疗方案的选择。[4]Hurley H. Axillary hyperhidrosis, apocrine bromhidrosis, hidradenitis suppurativa, and familial benign pemphigus. In: Roenigk RH, Roenigk HH Jr, eds. Dermatologic surgery: principles and practice. New York, NY: Marcel Dekker; 1989:729-739.[5]Kim WB, Sibbald RG, Hu H, et al. Clinical features and patient outcomes of hidradenitis suppurativa: a cross-sectional retrospective study. J Cutan Med Surg. 2016;20:52-57.http://journals.sagepub.com/doi/full/10.1177/1203475415602840http://www.ncbi.nlm.nih.gov/pubmed/26318545?tool=bestpractice.com[6]Martorell A, García-Martínez FJ, Jiménez-Gallo D, et al. An update on hidradenitis suppurativa (part I): epidemiology, clinical aspects, and definition of disease severity. Actas Dermosifiliogr. 2015;106:703-715.http://www.actasdermo.org/en/an-update-on-hidradenitis-suppurativa/articulo/S1578219015002437/http://www.ncbi.nlm.nih.gov/pubmed/26254550?tool=bestpractice.com
Hurley I 级(轻度):表现为脓肿和炎症结节但无瘢痕形成。
[Figure caption and citation for the preceding image starts]: I 级化脓性汗腺炎:发炎结节和丘疹不连续,其间有正常皮肤且无瘢痕形成由 R.A.Lee, MD, PhD 提供 [Citation ends].
Hurley II 级(中度):表现为脓肿和炎症结节并有瘢痕形成。但是,炎症皮损和瘢痕之间有正常皮肤区域分隔。
[Figure caption and citation for the preceding image starts]: II 级化脓性汗腺炎:发炎结节和瘢痕,其间有正常皮肤区域由 R.A.Lee, MD, PhD 提供 [Citation ends].
Hurley III 级(重度):瘢痕广泛相连,伴或不伴活跃性炎症皮损。
[Figure caption and citation for the preceding image starts]: III 级化脓性汗腺炎:瘢痕、囊肿、粉刺和炎症结节相连由 R.A.Lee, MD, PhD 提供 [Citation ends].