{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:56:14Z","timestamp":1787014574425,"version":"build-2736575974"},"reference-count":13,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,5,29]],"date-time":"2012-05-29T00:00:00Z","timestamp":1338249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2013,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background\u2002<\/jats:bold>\n                    Hidradenitis suppurativa (HS) is a relatively common condition marked by abscesses, sinus tracts, and scarring in intertriginous regions of the body. Lymphedema is an under\u2010recognized consequence of chronic inflammation in the setting HS.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods\u2002<\/jats:bold>\n                    We report five cases of patients with lymphedema resulting from long\u2010standing HS; the patients were seen either in a specialty HS clinic or general dermatology clinic at our institution. Biopsies for histologic analysis were performed on four of the five patients reported here.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2002<\/jats:bold>\n                    Changes of lymphedema may be manifested diffusely as widespread plaques or focally as verrucous papules and nodules. The latter may be difficult to distinguish clinically from squamous cell carcinoma, another complication of chronic HS. Histopathologic features of lymphedema include dilated lymphatic channels, diffuse edema, verrucous epidermal hyperplasia, mixed inflammation, and dermal fibrosis.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion\u2002<\/jats:bold>\n                    Lymphedema associated with chronic HS, which we also term \u201cverrucous lymphostasis,\u201d encompasses a spectrum of clinical and histopathologic findings. Squamous cell carcinoma may mimic focal presentations of lymphedema, and biopsy may be necessary to distinguish the two.\n                  <\/jats:p>","DOI":"10.1111\/j.1365-4632.2011.05361.x","type":"journal-article","created":{"date-parts":[[2012,5,29]],"date-time":"2012-05-29T03:05:42Z","timestamp":1338260742000},"page":"808-812","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Lymphedematous verrucous changes simulating squamous cell carcinoma in long\u2010standing hidradenitis suppurativa"],"prefix":"10.1111","volume":"52","author":[{"given":"Emily Y.","family":"Chu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carrie L.","family":"Kovarik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,5,29]]},"reference":[{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.yadr.2007.07.001"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2008.11.911"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0560.2008.01073.x"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(96)90321-7"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.04.001"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0151-9638(07)89271-4"},{"key":"e_1_2_8_8_2","first-page":"519","article-title":"[Surgical treatment of penile lymphedema associated with hidradenitis suppurativa]","volume":"29","author":"Garcia\u2010Tutor E","year":"2005","journal-title":"Actas Urol Esp"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199605000-00023"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2007.03293.x"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0344-0338(00)80033-3"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e3181dc1e5b"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000441-200503000-00008"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0151-9638(05)79190-0"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-4632.2011.05361.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-4632.2011.05361.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,14]],"date-time":"2023-10-14T21:43:41Z","timestamp":1697319821000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-4632.2011.05361.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,5,29]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2013,7]]}},"alternative-id":["10.1111\/j.1365-4632.2011.05361.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-4632.2011.05361.x","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,5,29]]},"assertion":[{"value":"2012-05-29","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}