A 12-Year Experience of Hidradenitis Suppurativa Management

Abstract

BACKGROUND: Although treatment recommendations for hidradenitis suppurativa (HS) are well known, practical experience implementing them in Lithuania has not been reported yet. OBJECTIVE: To review clinical findings and treatment options used in patients with HS in the largest center of dermatology and venereology in Lithuania from 2005 to 2016. METHODS: A retrospective single-center medical file analysis was conducted on 46 patients with HS. Demographic information, patient history, and treatment results were included in the final analysis. χ2 Tests were used. Statistical significance was set at P ≤ .05. MAIN RESULTS: Of the 46 patients, 52.2% were male. Percentages of patients with Hurley stages I, II, and III were 41.3%, 30.4%, and 28.3%, respectively. Patients with Hurley III HS were more likely to be smokers and obese. The most commonly prescribed medications were systemic antibiotics (76.1%) and systemic retinoids (37.0%). Systemic corticosteroids (19.6%) were more often prescribed to patients with Hurley III. Surgical procedures were performed in 54.3% of patients. The most common complication of the disease was contracture (13.0%). CONCLUSIONS: This study revealed an association between smoking and obesity and the most severe stage of HS. Results showed that traditional medications used in this study were not effective for severe HS.

Office-Based Surgical Intervention for Hidradenitis Suppurativa (HS): A Focused Review for Dermatologists

“…Four studies reported data on excision and unroofing collectively in retrospective studies, representing 876 patients [ 25 , 35 , 36 , 59 ]. Two studies reported grouped recurrence rates across multiple procedures (e.g., excision, unroofing) and did not specify intervention [ 35 , 36 ].…”

“…Three of these studies specified postoperative complications, with an overall rate of 4% (81 complications/765 patients) [ 25 , 36 , 59 ]. The top complication was infection ( n = 2).…”

“…Four studies reported data on excision and unroofing collectively in retrospective studies, representing 876 patients [25,35,36,59]. Two studies reported grouped recurrence rates across multiple procedures (e.g., excision, unroofing) and did not specify intervention [35,36] Three of these studies specified postoperative complications, with an overall rate of 4% (81 complications/765 patients) [25,36,59]. The top complication was infection (n = 2).…”

Hidradenitis Suppurativa: A 9-Year Retrospective Study from Malatya, Turkey

“…Many epidemiological studies from different countries have been reported in the literature about HS. 7,[9][10][11][12] A limited number of epidemiological studies have been reported related to HS in Turkey. 13,14 Hurley described a clinical severity score for HS in 1989.…”

“…In severe cases, granuloma formation; abscesses, histiocytes and sinuses surrounded by giant cells can be seen. 10 In the literature, many studies have mentioned the relationship between smoking and obesity with HS. Smoking is thought to play a role in etiology by increasing the chemotaxis of polymorphonuclear leukocytes.…”