Hidradenitis Suppurativa.

IF 15.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
S McCarthy
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引用次数: 0

Abstract

Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by the formation of nodules, abscesses, and fistulae at intertriginous sites. Pain, pruritus, malodor, and suppuration have a significant impact on quality of life for HS patients. Prevalence figures vary greatly in the literature from 0.05% to 4.1%, and HS is more common in females. The current understanding of the etiology and pathogenesis of HS is incomplete; numerous hypotheses concern the interplay of lifestyle factors, skin microbiota, genetics, and a dysregulated immune system. Due to its phenotypic heterogeneity and multifactorial pathogenesis, HS is a complex disease that can prove challenging to manage. Two approved biologic therapies for the management of HS have led to clinical response in approximately 50% of treated patients. New therapies targeting the interleukin (IL)-1, IL-17, IL-36, and Janus kinase/signal transducer and activator of transcription (JAK/STAT) pathways are in ongoing clinical trials, and preliminary data offer hope for greater clinical efficacy in HS in the future.

化脓性汗腺炎(HS)是一种慢性炎症性皮肤病,其特征是在三节间部位形成结节、脓肿和瘘管。疼痛、瘙痒、恶臭和化脓对HS患者的生活质量有显著影响。文献中的患病率差异很大,从0.05%到4.1%不等,HS在女性中更为常见。目前对HS的病因和发病机制的认识尚不完整;许多假设涉及生活方式因素、皮肤微生物群、遗传和失调的免疫系统的相互作用。由于其表型异质性和多因素发病机制,HS是一种复杂的疾病,可以证明具有挑战性的管理。两种已获批准的用于治疗HS的生物疗法在大约50%的治疗患者中产生了临床反应。针对白细胞介素(IL)-1、IL-17、IL-36和Janus激酶/信号传导和转录激活因子(JAK/STAT)途径的新疗法正在进行临床试验,初步数据为未来HS的临床疗效提供了希望。
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来源期刊
Annual review of medicine
Annual review of medicine 医学-医学:内科
CiteScore
24.90
自引率
0.00%
发文量
58
期刊介绍: The Annual Review of Medicine, which has been published since 1950, focuses on important advancements in diverse areas of medicine. These include AIDS/HIV, cardiology, clinical pharmacology, dermatology, endocrinology/metabolism, gastroenterology, genetics, immunology, infectious disease, neurology, oncology/hematology, pediatrics, psychiatry, pulmonology, reproductive medicine, and surgery. The journal's current volume has transitioned from a gated access model to an open access model through the Annual Reviews' Subscribe to Open program. All articles published in the journal are now available under a CC BY license.
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