Evaluation of systemic immune and inflammatory biomarkers in hidradenitis suppurativa

Z Utlu1

  • 1Department of Dermatology and Venereology, Health Sciences University Erzurum Regional Training and Research Hospital, Erzurum, Turkey. dr.zeynep.utlu@gmail.com.

Insights

New inflammatory markers, systemic immune-inflammation index (SII) and systemic inflammation response index (SIRI), show promise for monitoring hidradenitis suppurativa (HS). These indicators are more reliable than other inflammation markers for HS patients.

Area of Science:

  • Dermatology
  • Immunology
  • Clinical Pathology

Background:

  • Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition.
  • Understanding inflammatory markers in HS is crucial for effective management.

Purpose of the Study:

  • To investigate the relationship between HS and complete blood count (CBC) parameters.
  • To evaluate new inflammatory indices, systemic immune-inflammation index (SII) and systemic inflammation response index (SIRI), in HS patients.

Main Methods:

  • Retrospective review of 102 HS patients and 99 healthy controls.
  • Comparison of CBC parameters, neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), SII, and SIRI between groups.

Main Results:

  • HS patients showed significant differences in CRP, neutrophil, lymphocyte, monocyte, and platelet counts, and PLR compared to controls.
  • SII and SIRI were significantly elevated in HS patients.
  • SIRI demonstrated a moderate correlation with CRP, while SII showed a low correlation. A high correlation was observed between SII and SIRI.

Conclusions:

  • SII and SIRI are more reliable inflammatory biomarkers in HS patients than other tested parameters.
  • SII and SIRI can serve as novel indicators for evaluating treatment response and monitoring HS progression.
Abstract