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Pilonidal disease - Overview

Alternative Names

Pilonidal abscess; Pilonidal sinus; Pilonidal cyst

Definition of Pilonidal disease:

Pilonidal disease is a condition that can occur anywhere along the crease between the buttocks, which runs from the bone at the bottom of the spine (sacrum) to the anus.

Pilonidal disease may appear as:

  • A pilonidal abscess, in which the hair follicle becomes infected and pus collects in the fat tissue
  • A pilonidal cyst, in which a cyst or hole forms if there has been an abscess for a long time
  • A pilonidal sinus, in which a tract grows under the skin or deeper from the hair follicle
  • A small pit or pore in the skin that contains dark spots or hair

Considerations:

Symptoms may include:

  • Pus may drain to a small pit in the skin
  • Tenderness over the area after you are active or sit for a period of time
  • Warm, tender, swollen area near the tailbone

Common Causes:

The cause of pilonidal disease is not clear. It is thought to be caused by hair growing into the skin in the crease between the buttocks.

This problem is more likely to occur in people who:

  • Are obese
  • Experienced trauma or irritation in the area
  • Have excess body hair
  • Sit for long periods of time
  • Wear tight clothing
  • Reviewed last on: 12/17/2010
  • Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Klein MD, Thomas RP. Surgical conditions of the anus, rectum, and colon. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 341.

Nelson H, Cima RR. Anus. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 51.

Humphries AF, Duncan JE. Evaluation and management of pilonidal disease. Surg Clin North Am. 2010;90:113-124.

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