Introduction In many epidemiologic studies, hidradenitis suppurativa (HS) has been found to disproportionately affect women of childbearing age. Nearly three-quarters of new diagnoses are in women, with the highest incidence in female patients aged 30 to 39. Furthermore, the reported…
Abbreviations used HS hidradenitis suppurativa IL interleukin Nd:YAG neodymium-doped yttrium-aluminum-garnet laser MetS metabolic syndrome IBD inflammatory bowel disease OR odds ratio SIR standardized incidence ratios QOL quality of life SD standard deviation SES socioeconomic status NAMCS National Ambulatory Medical Care…
Introduction Hidradenitis suppurativa/acne inversa (HS) is a chronic, inflammatory, recurrent, debilitating skin disease of the hair follicle which affects apocrine gland-rich areas of the body. The disease usually presents after puberty, but it can, although uncommonly, also affect adolescents (onset…
Introduction Hidradenitis suppurativa (HS) poses many challenges to patients, including delays in diagnosis, recurring pain, discomfort, and inadequate symptom coverage with conventional therapies. A survey study of 303 HS patients reported that half of HS patients using conventional therapies reported…
Introduction Hidradenitis suppurativa (HS) is a chronic inflammatory disorder with a profoundly negative impact on quality of life in patients with active disease. Many lifestyle factors are associated with disease incidence, severity, and exacerbation. This chapter addresses potentially modifiable lifestyle…
Introduction The treatments for hidradenitis suppurativa (HS) can generally be divided into those with pharmacologic focus, and those that are procedural. For milder Hurley stage I disease, management is usually medication-focused, and designed to control or prevent the inflammatory events.…
Abbreviations: hidradenitis suppurativa (HS) carbon dioxide (CO 2 ) neodymium-doped yttrium aluminum garnet (Nd:YAG) Hidradenitis Suppurativa Clinical Response (HiSCR) Dermatology Life Quality Index (DLQI) photodynamic therapy (PDT) methyl aminolevulinate (MAL) 5-aminolevulinic acid (ALA) methylene blue (MB) Introduction In additional to…
Introduction Every patient with hidradenitis suppurativa (HS) has a unique story to tell. All too often this story is a long one that includes numerous treatments, frustration, pain, and social embarrassment. By the time I see the patient, he or…
History of Surgery in Hidradenitis Suppurativa Hidradenitis suppurativa (HS) was first described by two surgeons in the 1800s, Velpeau and Verneuil. There was much debate surrounding whether HS was primarily a venereal disease, tumor, or abscess. In the 1890s, Barthelemy…
Introduction In the last few decades, surgical interventions for hidradenitis suppurativa (HS) have expanded well beyond traditional excisional approaches with the popularization of deroofing, the use of electrosurgical and laser-based excisions, and combined approaches that take both medical and surgical…