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


Riis P. T., Saunte D. M., Sigsgaard V., Villani A. P., Guillem P., Pascual J. C., ...More

ARCHIVES OF DERMATOLOGICAL RESEARCH, vol.312, no.10, pp.715-724, 2020 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 312 Issue: 10
  • Publication Date: 2020
  • Doi Number: 10.1007/s00403-020-02053-6
  • Journal Name: ARCHIVES OF DERMATOLOGICAL RESEARCH
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Page Numbers: pp.715-724
  • Keywords: Hidradenitis suppurativa, Children, Pediatric, Acne inversa, RISK-FACTORS, PREVALENCE, ACNE, SEVERITY, CHILDREN, FINASTERIDE, SMOKING, DISEASE
  • Gazi University Affiliated: Yes

Abstract

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.