Hidradenitis Suppurativa: Diagnosis and Treatment Challenges in Primary Care

Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory disease that can affect children and adolescents. It is often associated with significant medical and psychological comorbidities, leading to a substantial impact on quality of life. In this age group, HS is often underdiagnosed, resulting in delayed treatment and progression of disease. Timely recognition of HS by pediatricians and primary care providers is essential, particularly in distinguishing it from mimics like infections or folliculitis, providing appropriate treatment, and prevention of complications. Early referral to dermatology in severe or treatment-resistant cases can significantly improve patient outcomes.