Progression From Cutaneous Abscess to Hidradenitis Suppurativa: A Retrospective Analysis.

IF 2.2 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-09-04 DOI:10.1097/DSS.0000000000004729

Hiral Patel, Sujeeth Krishna Shanmugam, Katie K Lovell, Madison Read, Elizabeth Swain, Emily Balding, Rita O Pichardo, Steven R Feldman

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引用次数: 0

Abstract

Background: Hidradenitis suppurativa (HS) is often diagnosed late in disease course after irreversible scarring, and other modifiers of quality of life have occurred. Identifying HS earlier may help reduce long-term impact.

Objective: This study examines how often patients diagnosed with cutaneous abscesses are later identified as having HS, time to HS diagnosis, and demographic factors associated with diagnosis.

Methods: The study was conducted at Atrium Health Wake Forest Baptist from 2012 to 2023. Data on demographics, clinical history, abscess and lesion locations, HS diagnosis, and time to HS diagnosis were collected. Chi-squared and t-tests were conducted to compare outcomes.

Results: Four hundred seventy-one patients, predominantly women [70.1%], met inclusion criteria. Seventy-one patients were diagnosed with HS, predominantly women [80.3%]. HS patients were more likely (35.6%) to have abscesses in the axillae (χ2 = 28.3, p < .0001), inframammary region (χ2 = 18.7, p < .0001), or inguinal folds (χ2 = 12.2, p = .005) than those with boils in nontypical locations (5.4%) (χ2 = 66.8, p < .0001).

Conclusion: The heterogeneous nature of HS makes early definitive diagnosis challenging. The anatomic location of abscesses may help identify patients for early intervention and treatment of this debilitating condition.

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从皮肤脓肿到化脓性汗腺炎的进展：回顾性分析。

背景：化脓性汗腺炎（HS）通常在病程晚期在不可逆瘢痕形成后被诊断出来，并发生其他生活质量的改变。及早发现HS可能有助于减少长期影响。目的：本研究探讨诊断为皮肤脓肿的患者后来被诊断为HS的频率、HS诊断的时间以及与诊断相关的人口统计学因素。方法：研究于2012年至2023年在Atrium Health Wake Forest Baptist进行。收集患者的人口统计学、临床病史、脓肿和病变部位、HS诊断和HS诊断时间。采用卡方检验和t检验比较结果。结果：471例患者符合纳入标准，以女性为主[70.1%]。71例患者被诊断为HS，以女性为主[80.3%]。HS患者腋窝脓肿（χ2 = 28.3, p < 0.0001）、乳下区脓肿（χ2 = 18.7, p < 0.0001）、腹股沟褶皱脓肿（χ2 = 12.2, p = 0.005）的发生率（35.6%）高于非典型部位脓肿（5.4%）（χ2 = 66.8, p < 0.0001）。结论：HS的异质性使得早期明确诊断具有挑战性。脓肿的解剖位置可能有助于确定患者的早期干预和治疗这种衰弱的条件。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.