title: Management of hidradenitis suppurativa in pregnancy.
abstract: Hidradenitis suppurativa is a debilitating inflammatory skin disease with a chronic course and often disappointing response to treatment. Though a minority of persons (20%) reports symptom remission during pregnancy, the vast majority experiences no relief (72%), and few experience clinical deterioration (8%). Disease flares are also observed post-partum. The pathophysiological basis for pregnancy-associated fluctuations in clinical status is currently unknown. Because most women with HS require ongoing management throughout pregnancy, it is important to evaluate the suitability and safety of current treatment options for pregnant women. The following review will outline current management strategies for HS and their compatibility with pregnancy and lactation.
authors.affiliation: School of Medicine, Johns Hopkins University, Baltimore, Maryland.
authors.forename: Powell
authors.initials: P
authors.lastname: Perng
authors.affiliation: Department of Dermatology, Johns Hopkins University, Baltimore, Maryland.
authors.forename: John G
authors.initials: JG
authors.lastname: Zampella
authors.affiliation: Department of Dermatology, Johns Hopkins University, Baltimore, Maryland. Electronic address: ghinds1@jhmi.edu.
authors.forename: Ginette A
authors.initials: GA
authors.lastname: Okoye
mesh_terms: D000900:Anti-Bacterial Agents / Q000009:adverse effects; D001688:Biological Products / Q000009:adverse effects; D000075202:Contraindications; D017679:Cryotherapy; D005260:Female; D017497:Hidradenitis Suppurativa / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D006705:Homeopathy; D006801:Humans; D007166:Immunosuppressive Agents / Q000009:adverse effects; D007774:Lactation; D053685:Laser Therapy; D008687:Metformin / Q000627:therapeutic use; D059408:Pain Management; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D016540:Smoking Cessation
chemical_list: D000900:Anti-Bacterial Agents; D001688:Biological Products; D007166:Immunosuppressive Agents; D008687:Metformin
keywords: hidradenitis suppurativa; inflammation; inflammatory skin disease; lactation; post-partum; pregnancy