{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,24]],"date-time":"2025-09-24T10:09:50Z","timestamp":1758708590073,"version":"3.44.0"},"reference-count":24,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"content-version":"unspecified","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,18]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease with a relapsing nature that has a significant impact on the patient\u2019s quality of life. The clinical presentation of the disease includes deep dermal abscesses and sinus tracts. Long-term affliction of the disease may lead to contractures, scars and fibrosis. Management is still challenging and varies from medical to surgical options. We report the following case of a man in his 30s who presented with severe HS in the axillae, groins, perineum and lower sacral region. The patient has been treated by excision of the whole lesions followed by using multiple fasciocutaneous flaps as a reconstructive method.<\/jats:p>","DOI":"10.1136\/bcr-2023-255037","type":"journal-article","created":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T19:15:25Z","timestamp":1701976525000},"page":"e255037","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Use of multiple fasciocutaneous flaps for the management of extensive hidradenitis suppurativa"],"prefix":"10.1136","volume":"16","author":[{"given":"Rawan Humaidy","family":"Alshammary","sequence":"first","affiliation":[{"name":"Plastic Surgery Department, Prince Mutaib bin Abdulaziz Hospital, Saudi Arabia Ministry of Health, Aljouf, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elbadawi Hassan","family":"Hbib Allaha","sequence":"additional","affiliation":[{"name":"Plastic Surgery Department, Prince Mutaib bin Abdulaziz Hospital, Saudi Arabia Ministry of Health, Aljouf, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muawya sufyan","family":"Fakhruddin","sequence":"additional","affiliation":[{"name":"Plastic Surgery Department, Prince Mutaib bin Abdulaziz Hospital, Saudi Arabia Ministry of Health, Aljouf, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Bakhiet","sequence":"additional","affiliation":[{"name":"Department of Surgery, Al Baha University, AL Baha, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"key":"2025082702284958000_16.12.e255037.1","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16677"},{"key":"2025082702284958000_16.12.e255037.2","unstructured":"Ballard K , Shuman VL . 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Preexisting autoimmune disease and rheumatic immune-related adverse events associated with cancer Immunotherapy: a case series from the Canadian research group of rheumatology in Immuno-oncology (Canrio). In: In ARTHRITIS & RHEUMATOLOGY. WILEY, 2019: 111."},{"key":"2025082702284958000_16.12.e255037.14","doi-asserted-by":"publisher","DOI":"10.1046\/j.1524-4725.2000.00043.x"},{"issue":"5 Suppl 1","key":"2025082702284958000_16.12.e255037.15","doi-asserted-by":"crossref","first-page":"S70","DOI":"10.1016\/j.jaad.2015.07.044","article-title":"Recurrence of Hidradenitis Suppurativa after surgical management: a systematic review and meta-analysis","volume":"73","author":"Mehdizadeh","year":"2015","journal-title":"J Am Acad Dermatol"},{"key":"2025082702284958000_16.12.e255037.16","doi-asserted-by":"crossref","unstructured":"Ovadja ZN , Bartelink SAW , van de Kar AL , et al . A multicenter comparison of reconstruction strategies after wide excision for severe axillary Hidradenitis Suppurativa. 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