Pilonidal disease

-Pilonidal disease occurs when hair becomes entrapped within a cyst in the sacrococcygeal region

-It is a common condition of the skin and subcutaneous tissue at or near the upper part of the natal cleft of the buttocks.

-It  almost always occur in the midline but can have sinus tracts extending off the midline.

-It is typically chronic with recurrent drainage and inflammation,

-It is more common in teenage and young adult males.

-It is three times more common in men than in women.

-Risk factors: Deep natal cleft, obesity, increased hair density between the buttocks

Symptoms & Signs:

red, fluctuant, tender abscess in the gluteal cleft


History and Clinical examination is sufficient to diagnose this condition

Treatment: incision and drainage; Wound care


Q: What is the most common site of PD? Natal Cleft

Q: Describe the typical patient with PD? Teenager or young adult male


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