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Surgery General c3738a59

All of the following are true regarding pilonidal sinus except: September 2009

A
Seen predominantly in women
B
Occurs only in sacrococcygeal region
C
tendency for recurrence
D
Obesity is a risk factor
High-Yield Explanation
Ans. A: Seen predominantly in women Pilonidal disease is described back as far as 1833, when Mayo described a hair-containing cyst located just below the coccyx. Hodge coined the term "pilonidal" from its Latin origins in 1880. Pilonidal disease describes a spectrum of clinical presentations, ranging from asymptomatic hair-containing cysts and sinuses to large symptomatic abscesses of the sacrococcygeal region that have some tendency to recur Pilonidal disease involves loose hair and skin and perineal flora. Risk factors for pilonidal disease include male gender, hirsute individuals, Caucasians, sitting occupations, existence of a deep natal cleft, and presence of hair within the natal cleft. A common affliction amongst the military, it has been referred to as 'jeep disease'. Family history is seen in 38% of patients with pilonidal disease. Obesity is a risk factor for recurrent disease.

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