Clinical characteristics of a series of 302 French patients with hidradenitis suppurativa, with an analysis of factors associated with disease severity.
BACKGROUND
Factors associated with the severity of hidradenitis suppurativa (HS) are not known.


OBJECTIVE
We sought to identify factors associated with the severity of HS.


METHODS
The severity of disease in a series of 302 consecutive patients with HS was assessed using the Sartorius score.


RESULTS
Atypical locations were more common in men than in women (47.1% vs 14.8%; P < .001). Men also had more severe disease (median Sartorius score: 20.5 vs 16.5; P = .02). Increased body mass index (P < .001), atypical locations (P = .002), a personal history of severe acne (P = .04), and absence of a family history of HS (P = .06) were associated with an increased Sartorius score. The Sartorius score was highly correlated with the intensity and duration of pain and suppuration (all P values < .001).


CONCLUSIONS
The referral center base of the study may have biased recruitment.


CONCLUSIONS
Our data showed a significant association between the severity of HS and several clinical and behavioral factors. Prospective studies are needed to confirm the prognostic role of these factors.
Canoui-Poitrine
Florence
F
Laboratoire d'Investigation Clinique EA4393, Université Paris 12, Créteil, France.
Revuz
Jean E
JE
Wolkenstein
Pierre
P
Viallette
Cédric
C
Gabison
Germaine
G
Pouget
Florence
F
Poli
Florence
F
Faye
Ousmane
O
Bastuji-Garin
Sylvie
S
D000152:Acne Vulgaris / Q000150:complications; D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D005260:Female; D017497:Hidradenitis Suppurativa / Q000150:complications / Q000473:pathology*; D006801:Humans; D008297:Male; D012307:Risk Factors