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Hidradenitis Suppurativa.

Toni Jenkins1, Jahdonna Isaac2, Alicia Edwards1

  • 1Howard University College of Medicine, 520 West Street NW, Washington, DC 20059, USA.

Dermatologic Clinics
|May 26, 2023
PubMed
Summary
This summary is machine-generated.

Hidradenitis suppurativa (HS) is a chronic skin condition causing painful abscesses, disproportionately affecting Black adults. This review focuses on HS clinical presentation, diagnosis, and treatment, especially in skin of color.

Keywords:
Acne inversaBoilsDiagnosisHealth disparitiesHidradenitis suppurativaSinus tractsSkin of color

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Area of Science:

  • Dermatology
  • Chronic inflammatory skin conditions

Background:

  • Hidradenitis suppurativa (HS) is a chronic, debilitating follicular disease.
  • It presents with recurrent painful abscesses and sinus tracts, primarily in intertriginous zones.
  • HS disproportionately impacts individuals of African-American heritage in the United States, affecting mental health and quality of life.

Purpose of the Study:

  • To review the clinical presentation and diagnostic criteria for HS.
  • To discuss current and emerging treatment targets for HS.
  • To emphasize the specific considerations for HS in patients with skin of color.

Main Methods:

  • Literature review of HS pathophysiology, clinical presentation, diagnosis, and treatment.
  • Focus on studies and clinical observations relevant to skin of color.
  • Synthesis of current understanding and future research directions.

Main Results:

  • HS diagnosis relies on clinical presentation, including characteristic lesions and locations.
  • Treatment strategies vary based on disease severity, including medical and surgical options.
  • Understanding HS in skin of color is crucial due to potential diagnostic and therapeutic disparities.

Conclusions:

  • HS is a significant health concern, particularly within the Black population.
  • Early diagnosis and tailored treatment are essential for managing HS effectively.
  • Further research is needed to address the specific needs of patients with HS and skin of color.