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
Asymptomatic: painless cyst or sinus at the top of the gluteal cleft
Acute abscess: severe pain, swelling, discharge from the top of the gluteal c...
Antibiotics not indicated unless there is significant cellulitis (1)
If antibiotics are needed, a culture to direct thera...
Frequent dressing changes required after I&D
Follow up wound checks to assess for recurrence.
Aygen E, Arslan K, Dogru O, et al. Crystallized phenol in nonoperative treatment of previously operated, recurrent pilonidal disease. Dis Colon Rectum. 2010;53(6):932–935. [V...
L05.91 Pilonidal cyst without abscess
L05.92 Pilonidal sinus without abscess
L05.01 Pilonidal cyst with abscess
L05.02 Pilonidal sinus with abscess
685.1 Pilonidal cyst without mention of a...
Avoid prolonged sitting.
Trim hair in gluteal cleft weekly.
Refer recurring infections for more definitive surgical management.
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