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What is pilonidal disease?
The word pilonidal derives from the Latin word pilus (hair) and nidus (nest). Pilonidal disease is the term that encompasses the disease process in which hair burrows through the skin and into the subcutaneous tissue of the gluteal cleft, leading to a sinus tract that becomes epithelialized. The tract frequently ends in a pseudocystic saccule (i.e. nest) filled with hair and chronic granulation tissue. Over time, this collection can become infected leading to an abscess. The disease was first described by Mayo in 1833 and the term pilonidal sinus was coined by Hodges in 1880.
It is a relatively common problem seen by pediatric surgeons. Although it may not be as glamorous as some of the other problems that we care for, it is a significant source of morbidity and can result in significant periods of missed school and work. An organized treatment plan for the different stages of the disease can be very beneficial for patients affected with this problem.
see also Pilonidal Procedures
content in this topic is referenced in SCORE Anal Pathology: Fissures, Abscesses, Fistulae, Pilonidal, Prolapse overview
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Last updated: August 3, 2018
Flageole, Helene, et al. "Pilonidal Disease." Pediatric Surgery NaT, American Pediatric Surgical Association, 2018. APSA Webapp, www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829532/all/Pilonidal_Disease.
Flageole H, Livingston M, Hong AR. Pilonidal Disease. In: Waldhausen J, Powell D, Hirschl R, eds. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829532/all/Pilonidal_Disease. Accessed June 16, 2019.
Flageole, H., Livingston, M., & Hong, A. R. (2018). Pilonidal Disease. In Waldhausen, J., Powell, D., & Hirschl, R. (Eds.), Pediatric Surgery NaT. Available from https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829532/all/Pilonidal_Disease
Flageole H, Livingston M, Hong AR. Pilonidal Disease [Internet]. In: Waldhausen J, Powell D, Hirschl R, editors. Pediatric Surgery NaT. American Pediatric Surgical Association; 2018. [cited 2019 June 16]. Available from: https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829532/all/Pilonidal_Disease.
TY - ELEC
T1 - Pilonidal Disease
ID - 829532
A1 - Flageole,Helene,
AU - Livingston,Michael,
AU - Hong,Andrew,MD
ED - Waldhausen,John,
ED - Powell,David,
ED - Hirschl,Ron,
Y1 - 2018/08/03/
BT - Pediatric Surgery NaT
UR - https://www.pedsurglibrary.com/apsa/view/Pediatric-Surgery-NaT/829532/all/Pilonidal_Disease
PB - American Pediatric Surgical Association
DB - APSA Webapp
DP - Unbound Medicine