Hidradenitis Suppurativa: A Review of Cause and Treatment

    Shiva Yazdanyar, Gregor B. E. Jemec
    TLDR Hidradenitis suppurativa is a skin condition possibly caused by hair follicle issues, with treatments focusing on infection and inflammation.
    Hidradenitis suppurativa (HS) was reviewed as a chronic inflammatory skin disorder characterized by recurrent abscesses, fistulating sinuses, and scarring in areas with apocrine glands. The pathogenesis was linked to hyperkeratosis and follicular occlusion, with bacterial infections being secondary. Risk factors included smoking and obesity. Recent findings suggested HS might be an inflammatory disease due to a defect in hair follicle immunity. Treatment strategies were based on disease severity and included topical, systemic, and surgical options, often targeting microorganisms, inflammation, or hyperkeratosis. Improved understanding of HS pathogenesis was expected to enhance therapeutic approaches.
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