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

Author

Amelia Głowaczewska, Lukasz Matusiak, Mateja Dolenc-Voljč, Nayera H. Moftah, Jorge Romaní, V. Sigsgaard, Burcu Beksaç, Jan Lapins, Hessel H. van der Zee, Moetaz El-Domyati, Errol P. Prens, Eugènia Agut-Busquet, Axel Patrice Villani, Lerinza van den Worm, Mehmet Ali Gürer, Lennart Emtestam, Hassan Riad Kottb, Annika M J D Vanlaerhoven, Farida Benhadou, Maïa Delage-Toriel, Lisa Weibel, Hossam Abdel-Wahab, José C. Pascual, Ditte Marie Saunte, Vincenzo Bettoli, Véronique Del Marmol, Thi Lam, Dorra Bouazzi, Giada Calamo, Mohammad Fatani, Pierre-Andre Becherel, Martin Theiler, Peter Theut Riis, Jacek C Szepietowski, Aude Nassif, Philippe Guillem, Rania Abdelghani, Carol Hlela, Nejib Doss, Gregor B.E. Jemec, Naomi N Kappe, Zealand University Hospital [Roskilde, Denmark], University of Copenhagen = Københavns Universitet (UCPH), Service de dermatologie [HCL Lyon], Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL), Clinique du Val d'Ouest, Hospital Universitario de Alicante, Instituto de Investigación Sanitaria y Biomédica de Alicante (ISABIAL-FISABIO), Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana [Espagne] (FISABIO), Erasmus University Medical Center [Rotterdam] (Erasmus MC), Minia University, Al-Azhar University [Cairo, Egypt], Armed Forces College of Medicine [Cairo, Egypt] (AFCM), Universitat Autònoma de Barcelona (UAB), Hospital de la Santa Creu i Sant Pau, Hospital Universitari Parc Taulí of Sabadell, Barcelona, University of Cape Town, Red Cross Children's Hospital [Cape Town, South Africa], Azienda Ospedaliero Universitaria di Ferrara [Cona, Italy], Gazi University, Wrocław Medical University, Karolinska Institutet [Stockholm], Hamad medical corporation, Hera General Hospital [Makkah, Saudi Arabia], University Children’s Hospital Zurich, University hospital of Zurich [Zurich], Centre Médical de l'Institut Pasteur (CMIP), Institut Pasteur [Paris] (IP), Hôpital privé d’Antony, University of Ljubljana, University Medical Centre Ljubljana [Ljubljana, Slovenia] (UMCL), Department of Dermatology, Military Hospital of Tunis, Hôpital militaire de Tunis, Hôpital Erasme [Bruxelles] (ULB), Faculté de Médecine [Bruxelles] (ULB), Université libre de Bruxelles (ULB)-Université libre de Bruxelles (ULB), Université libre de Bruxelles (ULB), University of Copenhagen = Københavns Universitet (KU), Wroclaw Medical University [Wrocław, Pologne], Centre Médical de l'Institut Pasteur, Institut Pasteur [Paris], and Dermatology

Subjects
Male, Hirsutism, [SDV]Life Sciences [q-bio], Dermatologic Surgical Procedures, Administration, Oral, Disease, Comorbidity, Severity of Illness Index, Body Mass Index, 030207 dermatology & venereal diseases, 0302 clinical medicine, Risk Factors, Acne Vulgaris, Medicine, Hidradenitis suppurativa, Child, Children, Acne, hirsutism, Pediatric, medicine.diagnostic_test, Clindamycin, Smoking, General Medicine, Sciences bio-médicales et agricoles, 3. Good health, Anti-Bacterial Agents, Treatment Outcome, 030220 oncology & carcinogenesis, Drug Therapy, Combination, Female, Rifampin, medicine.drug, medicine.medical_specialty, Adolescent, Physical examination, Dermatology, Administration, Cutaneous, 03 medical and health sciences, Young Adult, Pilonidal Sinus, Internal medicine, Humans, Obesity, business.industry, Resorcinols, Acne inversa, Tetracycline, medicine.disease, Cross-Sectional Studies, business, Rifampicin, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, [SDV.MHEP.DERM]Life Sciences [q-bio]/Human health and pathology/Dermatology
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., info:eu-repo/semantics/published

Published
2020
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2. Clinical characteristics of pediatric hidradenitis suppurativa: a cross-sectional multicenter study of 140 patients.

Author

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, Romaní J, Hlela C, van den Worm L, Bettoli V, Calamo G, Gürer MA, Beksaç 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, and Jemec GBE

Subjects
Acne Vulgaris epidemiology, Administration, Cutaneous, Administration, Oral, Adolescent, Body Mass Index, Child, Clindamycin administration & dosage, Comorbidity, Cross-Sectional Studies, Drug Therapy, Combination methods, Female, Hidradenitis Suppurativa epidemiology, Hirsutism epidemiology, Humans, Male, Pilonidal Sinus epidemiology, Resorcinols administration & dosage, Rifampin administration & dosage, Risk Factors, Severity of Illness Index, Tetracycline administration & dosage, Treatment Outcome, Young Adult, Anti-Bacterial Agents administration & dosage, Dermatologic Surgical Procedures, Hidradenitis Suppurativa therapy, Obesity epidemiology, Smoking epidemiology
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.

Published
2020
Full Text
View/download PDF

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