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Hidradenitis suppurativa (HS) patients frequently experience disordered eating behaviors and diagnosed eating disorders, impacting their quality of life. Clinical awareness and multidisciplinary care are crucial for managing this psychological burden.

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Area of Science:

  • Dermatology
  • Psychiatry
  • Public Health

Background:

  • Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition causing significant physical and psychological distress.
  • Patients with HS often experience body image issues and emotional distress, potentially leading to maladaptive eating behaviors.

Purpose of the Study:

  • To investigate the prevalence of disordered eating behaviors and diagnosed eating disorders in individuals with HS.
  • To examine the relationship between HS and disordered eating patterns.

Main Methods:

  • A systematic review of studies from MEDLINE, Embase, Scopus, and Web of Science was conducted.
  • Seven eligible studies involving 2363 patients were included and assessed for quality using the Newcastle-Ottawa Scale.

Main Results:

  • Diagnosed eating disorders were identified in 3.7% of HS patients, with binge-eating disorder being the most common.
  • Disordered eating behaviors were reported in 27.8% of the cohort, including dieting concerns, misuse of weight-loss aids, food addiction, and emotional eating.

Conclusions:

  • Disordered eating appears to be a component of the psychological burden associated with HS.
  • Increased clinical awareness and integrated care approaches are recommended to improve HS patient outcomes and quality of life.