Facial Hidradenitis Suppurativa: A Potential Mimicker of Acne Vulgaris

    Noureddine Litaiem, A. Raboudi, Faten Zéglaoui
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    TLDR Facial hidradenitis suppurativa can be mistaken for acne but requires different treatment.
    The article discusses the potential for facial hidradenitis suppurativa (HS) to be mistaken for acne vulgaris (AV). Studies have shown a higher prevalence of AV in patients with HS, with one large study identifying a 15.2% prevalence among 48,085 adult HS patients. Differentiating between HS and AV is challenging due to overlapping clinical features, but certain characteristics like excess sebum and closed comedones are distinctive of AV, while rope-like scars suggest HS. Facial HS is more common in men and may be underdiagnosed, potentially leading to an overestimation of AV prevalence. Proper diagnosis is crucial as treatments differ, with HS potentially benefiting from combined antibiotics and tumor necrosis factor inhibitors.
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