{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:24:01Z","timestamp":1786652641363,"version":"build-2736575974"},"reference-count":7,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2018,12,10]]},"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>A 41-year-old obese Native American woman presented with hidradenitis suppurativa (HS) after failing all available treatment options. Her HS was more pronounced in the axillary and groin regions (Hurley stage III) and was a major source of her pain and a barrier for home exercise and aquatic therapy. She received a botulinum toxin A injection every 3 months (four times thus far), which has significantly helped alleviate her pain and curb the progress of her HS by resolving abscesses and healing draining sinuses.<\/jats:p>","DOI":"10.1136\/bcr-2018-226064","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T05:35:22Z","timestamp":1548048922000},"page":"e226064","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":21,"title":["Successful treatment of stage III hidradenitis suppurativa with botulinum toxin A"],"prefix":"10.1136","volume":"12","author":[{"given":"Weibin","family":"Shi","sequence":"first","affiliation":[{"name":"Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"},{"name":"Penn State Hershey Rehabilitation Hospital, Hummelstown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon","family":"Schultz","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"},{"name":"Penn State Hershey Rehabilitation Hospital, Hummelstown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Strouse","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"},{"name":"Penn State Hershey Rehabilitation Hospital, Hummelstown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R","family":"Gater","sequence":"additional","affiliation":[{"name":"Physical Medicine and Rehabilitation, Penn State Health Milton S Hershey Medical Center, Hershey, Pennsylvania, USA"},{"name":"Penn State Hershey Rehabilitation Hospital, Hummelstown, Pennsylvania, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,1,20]]},"reference":[{"key":"2025082623115772000_12.1.e226064.1","doi-asserted-by":"crossref","first-page":"105","DOI":"10.2147\/CCID.S111019","article-title":"Hidradenitis suppurativa: from pathogenesis to diagnosis and treatment","volume":"10","author":"Napolitano","year":"2017","journal-title":"Clin Cosmet Investig Dermatol"},{"key":"2025082623115772000_12.1.e226064.2","doi-asserted-by":"crossref","first-page":"1575","DOI":"10.1097\/01.prs.0000184354.32111.dc","article-title":"Treatment of hidradenitis suppurativa with botulinum toxin A","volume":"116","author":"O\u2019Reilly","year":"2005","journal-title":"Plast Reconstr Surg"},{"key":"2025082623115772000_12.1.e226064.3","doi-asserted-by":"publisher","DOI":"10.1111\/ced.12380"},{"key":"2025082623115772000_12.1.e226064.4","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1111\/j.1524-4725.2009.01231.x","article-title":"Prepubertal hidradenitis suppurativa successfully treated with botulinum toxin A","volume":"35","author":"Feito-Rodr\u00edguez","year":"2009","journal-title":"Dermatol Surg"},{"key":"2025082623115772000_12.1.e226064.5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200102153440704"},{"key":"2025082623115772000_12.1.e226064.6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2133.1990.tb06264.x"},{"key":"2025082623115772000_12.1.e226064.7","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1111\/j.1365-2133.2011.10643.x","article-title":"Alterations in leucocyte subsets and histomorphology in normal-appearing perilesional skin and early and chronic hidradenitis suppurativa lesions","volume":"166","author":"van der Zee","year":"2012","journal-title":"Br J Dermatol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-226064","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T06:12:10Z","timestamp":1756275130000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-226064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,1,20]]},"published-print":{"date-parts":[[2019,1]]}},"alternative-id":["10.1136\/bcr-2018-226064"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-226064","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,1]]}}}