Clinical characteristics of pediatric hidradenitis suppurativa: a cross-sectional multicenter study of 140 patients

Hidradenitis suppurativa (HS) rarely affects pediatric patients. The literature on pediatric HS patients is scarce. This is a cross-sectional study based on case note review or interviews and clinical examination of 140 pediatric patients undergoing secondary or tertiary level care. Patients were pr...

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Detalles Bibliográficos
Autores: Riis, PT, Saunte, DM, Sigsgaard, V, Villani, AP, Guillem, P, Pascual, JC, Kappe, NN, Vanlaerhoven, AMJD, van der Zee, HH, Prens, EP, El-Domyati, M, Abdel-Wahab, H, Moftah, N, Abdelghani, R, Agut-Busquet, E, Romani, J, Hlela, C, van den Worm, L, Bettoli, V, Calamo, G, Gurer, MA, Beksac, B, Matusiak, L, Glowaczewska, A, Szepietowski, JC, Emtestam, L, Lapins, J, Kottb, HR, Fatani, M, Weibel, L, Theiler, M, Delage-Toriel, M, Lam, TTH, Nassif, A, Becherel, PA, Dolenc-Voljc, M, Doss, N, Bouazzi, D, Benhadou, F, del Marmol, V, Jemec, GBE
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:España
Institución:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositorio:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p6703
Acceso en línea:https://isabial.portalinvestigacion.com/publicaciones6703
Access Level:acceso abierto
Palabra clave:Hidradenitis suppurativa
Children
Pediatric
Acne inversa
Descripción
Sumario:Hidradenitis suppurativa (HS) rarely affects pediatric patients. The literature on pediatric HS patients is scarce. This is a cross-sectional study based on case note review or interviews and clinical examination of 140 pediatric patients undergoing secondary or tertiary level care. Patients were predominantly female (75.5%,n = 105) with a median age of 16. 39% reported 1st-degree relative with HS. Median BMI percentile was 88, and 11% were smokers (n = 15). Median modified Sartorius score was 8.5. Notable comorbidities found were acne (32.8%,n = 45),hirsutism (19.3%,n = 27), and pilonidal cysts (16.4%,n = 23). Resorcinol (n = 27) and clindamycin (n = 25) were the most frequently used topical treatments. Patients were treated with tetracycline (n = 32), or oral clindamycin and rifampicin in combination (n = 29). Surgical excision was performed in 18 patients, deroofing in five and incision in seven patients. Obesity seemed to be prominent in the pediatric population and correlated to parent BMI, suggesting a potential for preventive measures for the family. Disease management appeared to be similar to that of adult HS, bearing in mind that the younger the patient, the milder the disease in majority of cases.

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