Abstract
Three hundred and twenty two patients with pilonidal sinus disease were studied to determine factors for the development and maintenance of the disease. A calculated incidence of the disease of 26 per 100000 inhabitants was found. It occurred 2.2 times more often in men than in women. Age at presentation was 21 years for men and 19 for women. Patients had two years (median) disease history before being referred for treatment. A family history could be found in 38% of the patients. 50% had normal body weight, and 37% were overweight. Local trauma or irritation preceded the condition in 34%, and a sedentary occupation was reported by 44%. Male sex, adolescence or youth, and a familial disposition seem to be associated with the development of pilonidal sinus. Local trauma and overweight are the most important conditioning factors for development of symptomatic pilonidal sinus disease.
Résumé
Cent-vingt-deux patients porteurs d'un sinus pilonidal ont été étudiés afin de déterminer l'existence de facteurs favorisant le développement ou la permanence de l'affection. L'incidence de la maladie a été calculée comme étant de 26 pour 100000 habitants. Elle survient 2,2 fois plus fréquemment chez l'homme que chez la femme. Les premières manifestations cliniques apparaissent à 21 ans et 19 ans chez la femme. La durée d'évolution moyenne de l'affection anamnestique est de deux ans avant que le patient ne soit adressé pour traitement. Une anamnèse familiale a été identifiée chez 38% des malades. Cinquante pour cent ont un poids corporel normal et 37% présentent un excès pondéral. Un traumatisme local ou une irritation précède le développement de l'affection chez 34% des patients et une occupation sédentaire est relevée chez 44%. Le sexe masculin, l'adolescence ou la jeunesse et une prédisposition familiale semblent être associés avec le développement d'un sinus pilonidal. Le traumatisme local et l'excès pondéral sont parmi les facteurs les plus importants qui prédisposent au développment d'un sinus pilonidal symptomatique.
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Søndenaa, K., Andersen, E., Nesvik, I. et al. Patient characteristics and symptoms in chronic pilonidal sinus disease. Int J Colorect Dis 10, 39–42 (1995). https://doi.org/10.1007/BF00337585
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DOI: https://doi.org/10.1007/BF00337585