Hidradenitis suppurativa (HS) is a common dermatologic condition in which chronic and recurrent inflammation affects the pilosebaceous unit and can lead to permanent disfigurement with scars and sinus tracts. Multimodal individualized treatment typically is required to address the medical, surgical, and psychosocial needs of affected patients. This article discusses several aspects of HS treatment that often are overlooked: educating patients about disease pathophysiology, counseling on smoking cessation, offering laser hair removal, planning for flares, and considering childbearing status.
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Hidradenitis Suppurativa Surgery Complication Rates Among Patients With Obesity or Diabetes or Who Smoke: A Review.
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January 2025
Department of Dermatology, School of Medicine, University of North Carolina at Chapel Hill.
Importance: Surgery is frequently required for hidradenitis suppurativa (HS) treatment, but the impact of common comorbidities such as obesity, diabetes, and smoking on outcomes has been sparsely studied.
Observations: A total of 12 studies met final inclusion criteria for investigating complication rates associated with at least 1 comorbidity. Complication rates were associated with obesity in 3 of 10 studies.
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Centre for Molecular Medicine and Biobanking, University of Malta, Malta.
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