Update on Hidradenitis Suppurativa (Part I): Epidemiology, Pathogenesis, Severity Assessment and Comorbidities

    Miguel Costa e Silva, Filomena Azevedo, Cármen Lisboa
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    TLDR Hidradenitis suppurativa is a chronic skin condition more common in women, linked to genetics and lifestyle factors, and associated with various other health issues.
    Hidradenitis suppurativa (HS) is a chronic skin condition characterized by inflammation and recurrent lesions around hair follicles, with prevalence rates ranging from 0.00033% to 4.1%, more commonly affecting women and typically beginning in the early 20s. The condition is believed to start with follicular hyperkeratosis leading to follicle rupture and inflammation. The causes are thought to be multifactorial, including genetic predisposition, smoking, mechanical stress, obesity, immune response issues, and hormonal imbalances. HS is also linked to several comorbidities, such as metabolic syndrome, inflammatory and rheumatologic diseases, depression, and even cancer, necessitating a multidisciplinary approach to management.
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