Pilonidal disease results from an abscess, or sinus tract, in the upper part of the natal (gluteal) cleft.
Synonym(s): jeep disease
16 to 26/100,000 per year
Predom...
Asymptomatic: painless cyst or sinus at the top of the gluteal cleft, fever is rare
Acute abscess: severe pain, swelling, discharge from the top o...
Shave hair area; remove hair from crypts weekly.
Asymptomatic disease does not need surgical treatment.
Antibiotics not indicated unless there is significant cellulit...
Frequent dressing changes required after I&D
Follow-up wound checks to assess for recurrence
L05.91 Pilonidal cyst without abscess
L05.92 Pilonidal sinus without abscess
L05.01 Pilonidal cyst with abscess
L05.02 Pilonidal sinus with abscess
432863009 pilonidal disease (disorder)
4...
Avoid prolonged sitting.
Lose weight.
Trim hair in gluteal cleft weekly.
Refer recurring infections for more definitive surgical management.
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