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

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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.

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Authors and Affiliations

  1. Department of Dermatology, Zealand University Hospital, Sygehusvej 5, 4000, Roskilde, Denmark

    Peter Theut Riis, Ditte Marie Saunte, Viktoria Sigsgaard, Dorra Bouazzi & Gregor B. E. Jemec

  2. Health Sciences Faculty, University of Copenhagen, Copenhagen, Denmark

    Peter Theut Riis, Ditte Marie Saunte, Viktoria Sigsgaard, Dorra Bouazzi & Gregor B. E. Jemec

  3. Dermatology Department, Edouard Herriot Hospital, Claude Bernard Lyon I University, Lyon, France

    Axel Patrice Villani & Philippe Guillem

  4. Clinique du Val D’Ouest, Ecully, France

    Axel Patrice Villani

  5. Department of Dermatology, Alicante University General Hospital, Alicante Institute for Health and Biomedical Research (ISABIAL-FISABIO Foundation), Alicante, Spain

    José C. Pascual

  6. Department of Dermatology, Erasmus Medical Center, Rotterdam, The Netherlands

    Naomi N. Kappe, Annika M. J. D. Vanlaerhoven, Hessel H. van der Zee & Errol P. Prens

  7. Department of Dermatology, Minia University, Al-Minya, Egypt

    Moetaz El-Domyati & Hossam Abdel-Wahab

  8. Department of Dermatology, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt

    Nayera Moftah & Rania Abdelghani

  9. Armed Forces College of Medicine, Cairo, Egypt

    Rania Abdelghani

  10. Department of Dermatology, Hospital Parc Tauli in Sabadell, Autonomous University of Barcelona (UAB), Barcelona, Spain

    Jorge Romaní

  11. Department of Dermatology, Red Cross Children’s Hospital, University of Cape Town, Cape Town, South Africa

    Carol Hlela & Lerinza van den Worm

  12. Department of Medical Sciences, O.U. of Dermatology, Azienda Ospedaliera-University of Ferrara, Cona, Italy

    Vincenzo Bettoli & Giada Calamo

  13. Department of Dermatology, Gazi University, Faculty of Medicine, Ankara, Turkey

    Mehmet Ali Gürer & Burcu Beksaç

  14. Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland

    Lukasz Matusiak, Amelia Glowaczewska & Jacek C. Szepietowski

  15. Unit of Infection and Dermatology, Department of Medicine, Huddinge at Karolinska Institutet, Stockholm, Sweden

    Lennart Emtestam & Jan Lapins

  16. Hamad Medical Corporation, Doha, Qatar

    Hassan Riad Kottb

  17. Department of Dermatology, Hera General Hospital, Makkah, Saudi Arabia

    Mohammad Fatani

  18. Department of Pediatric Dermatology, University Children’s Hospital Zurich, Zurich, Switzerland

    Lisa Weibel & Martin Theiler

  19. Department of Dermatology, University Hospital Zurich, Zurich, Switzerland

    Lisa Weibel & Martin Theiler

  20. Centre Médical de L’Institut Pasteur, Paris, France

    Maïa Delage-Toriel, Thi Thanh Hong Lam & Aude Nassif

  21. Hôpital Privé D’Antony, Antony, France

    Pierre-Andre Becherel

  22. Department of Dermatovenereology, University Medical Centre Ljubljana; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

    Mateja Dolenc-Voljc

  23. Department of Dermatology, Hôpital Militaire, Tunis, Tunisia

    Nejib Doss

  24. Department of Dermatology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium

    Farida Benhadou & Veronique del Marmol

  25. Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain

    Eugenia Agut-Busquet

  26. Hospital de Sabadell, Corporació Sanitària Parc Taulí, Universitat Autònoma de Barcelona, Barcelona, Spain

    Eugenia Agut-Busquet

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  1. Peter Theut Riis
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  2. Ditte Marie Saunte
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  8. Annika M. J. D. Vanlaerhoven
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  16. Jorge Romaní
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  25. Jacek C. Szepietowski
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  26. Lennart Emtestam
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  27. Jan Lapins
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  28. Hassan Riad Kottb
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  29. Mohammad Fatani
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  30. Lisa Weibel
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  31. Martin Theiler
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  32. Maïa Delage-Toriel
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  33. Thi Thanh Hong Lam
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  34. Aude Nassif
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  35. Pierre-Andre Becherel
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  36. Mateja Dolenc-Voljc
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  37. Nejib Doss
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  38. Dorra Bouazzi
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  39. Farida Benhadou
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  40. Veronique del Marmol
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  41. Gregor B. E. Jemec
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Correspondence to Peter Theut Riis.

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Gregor B.E. Jemec: Honoraria from AbbVie, Leo pharma, Pierre-Fabre, and Novartis for participation on advisory boards. Grants from Abbvie, Novartis, Regeneron and Leo Pharma for participation as an investigator. Research grants from Abbvie, Leo Pharma and Novartis. Ditte Marie Saunte was paid as a consultant for advisory board meeting by AbbVie, Janssen and Sanofi. She received speaker’s honoraria and/or received grants from the following companies: Bayer, Abbvie, Desitin, Pfizer, Galderma, Astellas, Novartis, Sanofi, and Leo Pharma. José C. Pascual: Honoraria from Abbvie for participation on advisory boards. Jorge Romani: Honoraria from AbbVie, Leo pharma, Almirall and Novartis for participation on advisory boards. Lisa Weibel received honoraria for participation on advisory boards from Sanofi, Merz, and Pierre-Fabre; for participating as study investigator from Abbvie and Novartis; and speaker’s honoraria from Merz, Pierre Fabre, and MEDA Pharma. Philippe Guillem was paid as a consultant for advisory board meeting by AbbVie. He received as speaker’s honoraria from AbbVie, Convatech, and Cicaplus. Axel P Villani received honoraria for participation on advisory boards from Bailleul and Merck. Other Authors stated no conflict of interest.

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P.T.R., D.M.S., V.S., A.P.V., J.C.P., D.B., F.B., V.M. and G.B.E.J.: European Reference Network for Rare and Complex Diseases of the Skin (ERN-Skin) member.

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Riis, P.T., Saunte, D.M., Sigsgaard, V. et al. Clinical characteristics of pediatric hidradenitis suppurativa: a cross-sectional multicenter study of 140 patients. Arch Dermatol Res 312, 715–724 (2020). https://doi.org/10.1007/s00403-020-02053-6

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