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THE MERCK MANUAL MEDICAL LIBRARY: The Merck Manual of Medical Information--Home Edition
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Pilonidal Disease

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Pilonidal disease is an infection caused by a hair that injures the skin at the top of the cleft between the buttocks.

A pilonidal abscess is a collection of pus at the infection site. A pilonidal sinus is a chronic draining wound at the site.

Pilonidal disease usually occurs in young, hairy, white men but can also occur in women. A pilonidal sinus can cause pain and swelling. To distinguish pilonidal disease from other infections, a doctor looks for pits—tiny holes in or next to the infected area.

Generally, a pilonidal abscess must be cut and drained by a doctor. Usually, a pilonidal sinus must be removed surgically.

Last full review/revision October 2007 by Parswa Ansari, MD; Norman Sohn, MD

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