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Racial Differences in Disease Characteristics of Pediatric Hidradenitis Suppurativa

Toluwalashe Onamusi1,2, Jennifer Murphy3, Sonal D Shah1,2

  • 1Department of Dermatology, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.

Pediatric Dermatology
|February 10, 2025
PubMed

Insights

Racial differences in pediatric hidradenitis suppurativa (HS) presentation and outcomes require further study. While biologic treatment use varied slightly, understanding these disparities is crucial for equitable care in children with HS.

Area of Science:

  • Dermatology
  • Pediatrics
  • Health Equity

Background:

  • Pediatric hidradenitis suppurativa (HS) is increasingly recognized.
  • Understanding racial disparities in HS presentation, severity, and outcomes is vital for equitable care.
  • This study investigates racial differences in pediatric HS at a single institution.

Purpose of the Study:

  • To analyze potential racial differences in pediatric hidradenitis suppurativa.
  • To compare presentation, severity, and treatment outcomes between racial groups.
  • To inform individualized and equitable care strategies for pediatric HS patients.

Main Methods:

  • Retrospective analysis of 70 pediatric patients with HS.
  • Data collected from a single academic institution.
  • Comparison of treatment patterns between non-Hispanic Black (NHB) and non-Hispanic White (NHW) patients.

Main Results:

  • No statistically significant difference in biologic treatment use between NHB and NHW pediatric HS patients.
  • NHW patients received biologic therapy more frequently (17.4%) than NHB patients (12.8%).
  • Observed racial differences suggest underlying factors contributing to disease heterogeneity.

Conclusions:

  • Racial differences in pediatric HS warrant further investigation.
  • Understanding disease heterogeneity and treatment response is key to optimizing care.
  • Further research is needed to address disparities and improve outcomes for all children with HS.

Keywords:
ethnic skinhealthcare disparityhidradenitis suppurativaskin of color

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