Hidradenitis Suppurativa in Children

Raveena Ghanshani1, Sarah E Park2, Maria A Aleshin3

  • 1Department of Dermatology, Keck School of Medicine of USC, University of Southern California, Los Angeles, CA 90033, USA.

Dermatologic Clinics
|March 1, 2025
PubMed

Insights

Treating pediatric hidradenitis suppurativa (HS) requires adapting adult protocols, as specific guidelines are limited. Early intervention in children is crucial to prevent lasting physical and mental health damage.

Area of Science:

  • Dermatology
  • Pediatric Care

Background:

  • Hidradenitis suppurativa (HS) presents unique challenges in pediatric patients due to a scarcity of dedicated research and treatment guidelines.
  • Current pediatric HS management often relies on extrapolating data and strategies from adult HS literature.

Purpose of the Study:

  • To review and discuss the management of hidradenitis suppurativa (HS) specifically in the pediatric population.
  • To highlight the need for age-specific considerations when applying adult treatment protocols to children with HS.

Main Methods:

  • Literature review of adult HS treatment modalities.
  • Analysis of potential applicability and modifications for pediatric use.
  • Discussion of age-specific considerations for HS management in children.

Main Results:

  • Various treatments used for adult HS, including topical agents, oral antibiotics, hormonal therapies, biologics, and surgical procedures, can be applied to children.
  • Key differences and necessary adjustments for pediatric application of these treatments are identified.
  • The importance of early diagnosis and intervention to prevent long-term consequences is emphasized.

Conclusions:

  • Pediatric HS management necessitates careful adaptation of adult treatment strategies.
  • Addressing age-specific factors is critical for effective and safe treatment in children.
  • Prompt identification and treatment of HS in children can significantly reduce irreversible tissue damage and improve mental and physical well-being.