OCULAR MANIFESTATIONS IN A PATIENT WITH HIDRADENITIS SUPPURATIVA: A CASE STUDY

Area of Science:

• Ophthalmology
• Dermatology
• Systemic Comorbidities

Background:

• Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition with potential systemic effects.
• Ocular manifestations are common in HS patients, including dry eye syndrome and corneal neovascularization.
• Untreated HS can lead to significant visual impairment.

Purpose of the Study:

• To highlight the importance of a multidisciplinary approach in managing ocular complications of hidradenitis suppurativa.
• To present a case study of a young male patient with severe ocular involvement secondary to HS.

Main Methods:

• A 19-year-old male patient with uncontrolled HS, corneal neovascularization, and dry eye disease was treated.
• Treatment involved secukinumab and doxycycline after adalimumab failure.
• Ophthalmologic evaluations monitored corneal neovascularization, inflammation, and visual acuity.
• Management included a multidisciplinary team (ophthalmology and dermatology) and topical/systemic therapies.

Main Results:

• The patient presented with bilateral corneal neovascularization, stromal infiltrates, and chronic inflammation.
• Despite scarring, visual acuity was maintained at 6/6 in both eyes.
• The combined treatment aimed to reduce inflammation and prevent infections.

Conclusions:

• A multidisciplinary approach is essential for managing HS ocular manifestations.
• Early diagnosis and tailored treatment plans are key to improving patient outcomes and visual function.
• Further research is needed to understand HS-related ocular pathophysiology and optimize treatment strategies.