Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based study

Background/objectiveHidradenitis suppurativa (HS) is a chronic inflammatory disease affecting apocrine gland areas, characterized by painful nodules and abscesses that may result in sinus tracts and scarring. The global prevalence of HS is increasing due to heightened awareness, improved diagnostic...

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Main Authors: Gökhan Kaya, Fatma Pelin Özgen, Osman Kelahmetoğlu, Özlem Su Küçük, Nahide Onsun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2024.1499509/full
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author Gökhan Kaya
Fatma Pelin Özgen
Osman Kelahmetoğlu
Özlem Su Küçük
Nahide Onsun
author_facet Gökhan Kaya
Fatma Pelin Özgen
Osman Kelahmetoğlu
Özlem Su Küçük
Nahide Onsun
author_sort Gökhan Kaya
collection DOAJ
description Background/objectiveHidradenitis suppurativa (HS) is a chronic inflammatory disease affecting apocrine gland areas, characterized by painful nodules and abscesses that may result in sinus tracts and scarring. The global prevalence of HS is increasing due to heightened awareness, improved diagnostic methods, rising obesity rates, and higher smoking prevalence. This study aimed to describe the epidemiological, clinical, and comorbid characteristics of HS patients.MethodologyThis retrospective descriptive cross-sectional study included 193 outpatients aged between 15 and 73 years who visited a tertiary HS clinic between 2017 and 2022. Demographic, clinical, and comorbid characteristics were recorded and analyzed using chi-square and ordinal regression methods.ResultsThe mean age was 34.5 ± 12.1 years, with a mean disease duration of 5.9 ± 6.7 years. According to the Hurley classification, 61.1, 24.4, and 14.5% were stages I, II, and III, respectively. Comorbidities were present in 48.2% of patients, with psychiatric disorders (19.2%), diabetes mellitus (14%), and hypertension (9.3%) being most common. Disease duration, smoking, male gender, and atypical localization were associated with increased disease severity.ConclusionGeographic and cultural factors influence the prevalence, severity, and management of HS, necessitating tailored treatment. Effective management requires multidisciplinary screening for early detection and prevention of comorbidities, including psychiatric disorders, cardiovascular conditions, and metabolic syndrome.
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spelling doaj-art-14cb2447a995411f85b360a893c25cce2025-01-09T12:41:58ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011110.3389/fmed.2024.14995091499509Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based studyGökhan Kaya0Fatma Pelin Özgen1Osman Kelahmetoğlu2Özlem Su Küçük3Nahide Onsun4Ministry of Health Nizip State Hospital, Department of Dermatology, Gaziantep, TürkiyeDepartment of Dermatology, Üsküdar University, İstanbul, TürkiyeIstanbul Okan University, Department of Plastic, Reconstructive, and Aesthetic Surgery, Istanbul, TürkiyeDepartment of Dermatology, Faculty of Medicine, Bezmialem Vakif University, Istanbul, TürkiyeDepartment of Dermatology, Biruni University, İstanbul, TürkiyeBackground/objectiveHidradenitis suppurativa (HS) is a chronic inflammatory disease affecting apocrine gland areas, characterized by painful nodules and abscesses that may result in sinus tracts and scarring. The global prevalence of HS is increasing due to heightened awareness, improved diagnostic methods, rising obesity rates, and higher smoking prevalence. This study aimed to describe the epidemiological, clinical, and comorbid characteristics of HS patients.MethodologyThis retrospective descriptive cross-sectional study included 193 outpatients aged between 15 and 73 years who visited a tertiary HS clinic between 2017 and 2022. Demographic, clinical, and comorbid characteristics were recorded and analyzed using chi-square and ordinal regression methods.ResultsThe mean age was 34.5 ± 12.1 years, with a mean disease duration of 5.9 ± 6.7 years. According to the Hurley classification, 61.1, 24.4, and 14.5% were stages I, II, and III, respectively. Comorbidities were present in 48.2% of patients, with psychiatric disorders (19.2%), diabetes mellitus (14%), and hypertension (9.3%) being most common. Disease duration, smoking, male gender, and atypical localization were associated with increased disease severity.ConclusionGeographic and cultural factors influence the prevalence, severity, and management of HS, necessitating tailored treatment. Effective management requires multidisciplinary screening for early detection and prevention of comorbidities, including psychiatric disorders, cardiovascular conditions, and metabolic syndrome.https://www.frontiersin.org/articles/10.3389/fmed.2024.1499509/fullhidradenitis suppurativaepidemiologyclinical characteristicsseverityHurleycomorbidities
spellingShingle Gökhan Kaya
Fatma Pelin Özgen
Osman Kelahmetoğlu
Özlem Su Küçük
Nahide Onsun
Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based study
Frontiers in Medicine
hidradenitis suppurativa
epidemiology
clinical characteristics
severity
Hurley
comorbidities
title Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based study
title_full Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based study
title_fullStr Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based study
title_full_unstemmed Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based study
title_short Demographic features, clinical characteristics, and comorbid relation in hidradenitis suppurativa: a population-based study
title_sort demographic features clinical characteristics and comorbid relation in hidradenitis suppurativa a population based study
topic hidradenitis suppurativa
epidemiology
clinical characteristics
severity
Hurley
comorbidities
url https://www.frontiersin.org/articles/10.3389/fmed.2024.1499509/full
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