Hidradenitis Suppurativa/Acne Inversa: Criteria for Diagnosis, Severity Assessment, Classification and Disease

Christos C Zouboulis1, Veronique Del Marmol, Ulrich Mrowietz

  • 1European Hidradenitis Suppurativa Foundation e.V., Dessau, Germany.

Dermatology (Basel, Switzerland)
|July 4, 2015
PubMed

Insights

Hidradenitis suppurativa (HS) is a debilitating skin condition. This expert consensus provides standardized criteria for its diagnosis, severity assessment, and classification, aiming for uniform patient evaluation.

Area of Science:

  • Dermatology and Inflammatory Diseases

Background:

  • Hidradenitis suppurativa/acne inversa (HS) is a chronic, inflammatory, and debilitating skin condition.
  • HS significantly impacts patients' quality of life, mental health, and physical activity, and is linked to cardiovascular risks.

Purpose of the Study:

  • To establish expert consensus on diagnostic criteria for HS.
  • To define standardized methods for assessing HS severity and classification.
  • To evaluate anti-inflammatory treatment effectiveness based on current evidence.

Main Methods:

  • Expert consensus development.
  • Review of current evidence for HS diagnosis and management.

Main Results:

  • The article presents defined criteria for HS diagnosis.
  • Standardized methods for severity assessment and classification are provided.
  • Guidelines for evaluating HS treatment effectiveness are outlined.

Conclusions:

  • The proposed criteria promote uniformity in HS evaluation.
  • These tools facilitate early identification and referral in primary care.
  • The criteria support thorough and efficient clinical practice for HS patients.
Abstract

Related Concept Videos

Acne Infection01:27

Acne Infection

Acne is a multifactorial skin condition primarily affecting adolescents and young adults, with a global prevalence estimated to exceed 75% in this demographic. The condition is characterized by the formation of comedones (blackheads and whiteheads), papules, pustules, nodules, and, in severe cases, cysts, particularly in areas rich in sebaceous glands such as the face, neck, chest, and back. The pathogenesis involves increased sebum production, follicular hyperkeratinization, colonization by...
58
Nephrotic Syndrome II : Assessment and Medical Management01:26

Nephrotic Syndrome II : Assessment and Medical Management

IntroductionNephrotic syndrome is a kidney disorder marked by excessive protein loss in the urine, leading to various systemic complications. This condition often results from damage to the glomeruli—the kidney's filtering units—causing proteinuria, low blood protein levels, and fluid retention. Understanding the assessment, diagnosis, and management of nephrotic syndrome is essential for effective treatment and prevention of further kidney damage.AssessmentPatient History: Document...
339
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
675
Urinary Tract Infection IV: Nursing Management01:17

Urinary Tract Infection IV: Nursing Management

In managing urinary tract infections (UTIs) in nursing, a comprehensive assessment is essential. Begin by gathering subjective data, such as the patient’s complaints of dysuria (painful urination), urinary frequency, urgency, suprapubic pain, and any lower abdominal discomfort. This information can be complemented by questions regarding previous UTIs, sexual activity, and personal hygiene practices, which can provide insight into risk factors. Objective assessment should focus on signs...
604
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
78
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
618