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MRI Features of Hidradenitis Suppurativa and Review of the Literature

Aine M. Kelly1 and Paul Cronin

1 Both authors: Department of Radiology, University of Michigan, University of Michigan Hospitals, B1 132 H Taubman Center, 1500 E Medical Center Dr., Ann Arbor, MI 48109-0030.



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Fig. 1A 31-year-old woman with hidradenitis suppurativa. Axial T1-weighted spin-echo MR image (TR/TE, 467/9) obtained through upper thigh without fat saturation shows marked cutaneous thickening of medial thighs that is of low signal intensity (arrows).

 


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Fig. 1B 31-year-old woman with hidradenitis suppurativa. Axial T2-weighted fast spin-echo MR image (3,800/84) obtained through upper thigh with fat saturation shows edema of subcutaneous tissues with skin thickening of high signal intensity (arrows).

 


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Fig. 1C 31-year-old woman with hidradenitis suppurativa. Axial T2-weighted fast spin-echo MR image (3,800/84) of labia majora obtained through perineum with fat saturation shows ovoid area of high signal intensity (long arrow) that is consistent with abscess and reveals skin induration and thickening. Also, note enlarged lymph nodes (short arrows).

 


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Fig. 1D 31-year-old woman with hidradenitis suppurativa. Axial T1-weighted spoiled gradient-recalled echo MR image (250/3.1) obtained through perineum with fat saturation after IV contrast administration at same level as C also shows ovoid area of high signal intensity (long arrow) after IV contrast administration consistent with abscess. Also, note enlarged lymph nodes (short arrows).

 


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Fig. 1E 31-year-old woman with hidradenitis suppurativa. Axial T1-weighted spoiled gradient-recalled echo MR image (250/3.1) of labia majora obtained through perineum with fat saturation after IV contrast administration shows marked enhancement of indurated and thickened skin and of subcutaneous tissues (long arrows). Also, note enhancing enlarged lymph nodes (short arrows).

 


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Fig. 1F 31-year-old woman with hidradenitis suppurativa. Axial T2-weighted fast spin-echo MR image (3,800/84) obtained through mons pubis with fat saturation shows several high-signal-intensity foci (arrows) consistent with abscesses in cutaneous and subcutaneous tissues anterior to symphysis pubis.

 


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Fig. 1G 31-year-old woman with hidradenitis suppurativa. Axial T1-weighted spoiled gradient-recalled echo MR image (250/3.1) obtained through mons pubis with fat saturation after IV contrast administration shows marked enhancement of indurated and thickened skin and inflammatory stranding of subcutaneous tissues (arrows).

 


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Fig. 1H 31-year-old woman with hidradenitis suppurativa. Coronal T1-weighted spoiled gradient-recalled echo MR image (240/2.4) obtained through mons pubis with fat saturation after IV contrast administration shows enlarged lymph nodes (thin arrows). Also, note marked enhancement of indurated and thickened skin and inflammatory stranding of subcutaneous tissues (thick arrow).

 


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Fig. 1I 31-year-old woman with hidradenitis suppurativa. Coronal T1-weighted spoiled gradient-recalled echo MR image (240/2.4) obtained with fat saturation after IV contrast administration shows small rim-enhancing area (thick arrow) within medial thigh that is compatible with abscess. Also, note skin induration and thickening with inflammatory stranding of subcutaneous tissues (thin arrows).

 


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Fig. 1J 31-year-old woman with hidradenitis suppurativa. Coronal T1-weighted spoiled gradient-recalled echo MR image (240/2.4) obtained with fat saturation after IV contrast administration shows normal appearance of rectum.

 

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