{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:23Z","timestamp":1753862903160,"version":"3.41.2"},"reference-count":3,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,6,20]],"date-time":"2023-06-20T00:00:00Z","timestamp":1687219200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Poor personal hygiene wearing the same unwashed briefs, and prolonged sitting have led to the development of chronic perianal pyoderma. This can be confused with hidradenitis suppurativa and must be differentiated as their treatments are different.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>There are potential risks of persistent inflammation resulting from poor personal hygiene. This comprises wearing the same unwashed briefs and prolonged sitting posture that led to developing chronic perianal pyoderma (CPP) in a smoking man. CPP can be confused with hidradenitis suppurativa, requiring differentiation as their treatment strategies distinctly differ.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7477","type":"journal-article","created":{"date-parts":[[2023,6,21]],"date-time":"2023-06-21T04:33:42Z","timestamp":1687322022000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extensive chronic perianal pyoderma associated with persistent inflammation caused by wearing the same unwashed underwear for more than ten years"],"prefix":"10.1002","volume":"11","author":[{"given":"Michiko Matsuzawa","family":"Adachi","sequence":"first","affiliation":[{"name":"Department of Comprehensive Medicine 1, Division of General Medicine Jichi Medical University, Saitama Medical Centre  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuyuki","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Comprehensive Medicine 1, Division of General Medicine Jichi Medical University, Saitama Medical Centre  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiko","family":"Fukuchi","sequence":"additional","affiliation":[{"name":"Department of Comprehensive Medicine 1, Division of General Medicine Jichi Medical University, Saitama Medical Centre  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Pathology Jichi Medical University, Saitama Medical Centre  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Comprehensive Medicine 2, Division Plastic surgery Jichi Medical University, Saitama Medical Centre  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5060-9020","authenticated-orcid":false,"given":"Hitoshi","family":"Sugawara","sequence":"additional","affiliation":[{"name":"Department of Comprehensive Medicine 1, Division of General Medicine Jichi Medical University, Saitama Medical Centre  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,20]]},"reference":[{"issue":"1","key":"e_1_2_8_2_1","first-page":"83","article-title":"Chronic perianal pyoderma\u2014a study of the clinical and histogenetic features","volume":"135","author":"M\u00f6ller C","year":"1969","journal-title":"Acta Chir Scand"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2000.tb02268.x"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp1014163"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7477","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,20]],"date-time":"2023-08-20T15:56:24Z","timestamp":1692546984000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7477"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6]]},"references-count":3,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/ccr3.7477"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7477","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2023,6]]},"assertion":[{"value":"2023-03-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-05-25","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7477"}}