Racial Disparities in Hidradenitis Suppurativa Management at a Single Institution.

Area of Science:

• Dermatology
• Medical Research
• Public Health

Background:

• Hidradenitis suppurativa (H/S) is a chronic inflammatory skin condition.
• H/S disproportionately affects African Americans, indicating potential health disparities.
• Understanding these disparities is crucial for equitable patient care.

Purpose of the Study:

• To evaluate potential racial disparities in the presentation and management of hidradenitis suppurativa (H/S).
• To compare H/S characteristics and treatment outcomes between African American and non-African American patients.

Main Methods:

• A retrospective review of 1148 patients with H/S treated by plastic surgery and/or dermatology.
• Comparative analysis of H/S affected areas, management strategies, and treatment outcomes between African Americans and other racial groups.

Main Results:

• African Americans represented 66% of the H/S patient cohort and commonly experienced H/S in multiple body areas, including axilla, buttocks, breasts, abdomen, and thigh.
• African Americans were more likely to receive medical management only, while non-African Americans underwent surgery more frequently.
• Despite no difference in symptom resolution rates, African American patients reported higher symptom improvement and had fewer emergency room visits and hospitalizations.

Conclusions:

• Racial disparities may exist in the management of hidradenitis suppurativa (H/S) among African Americans.
• Multidisciplinary care is essential for optimizing patient outcomes in H/S management.
• Further research is needed to address and mitigate identified disparities in H/S treatment.