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

Peter Theut Riis 1, 2, * Ditte Marie Saunte 1, 2 Viktoria Sigsgaard 1, 2 Axel Patrice Villani 3, 4 Philippe Guillem 3 José Pascual 5, 6 Naomi Kappe 7 Annika Vanlaerhoven 7 Hessel van der Zee 7 Errol Prens 7 Moetaz El-Domyati 8 Hossam Abdel-Wahab 8 Nayera Moftah 9 Rania Abdelghani 9, 10 Eugenia Agut-Busquet 11, 12 Jorge Romaní 11, 13 Carol Hlela 14, 15 Lerinza van den Worm 15, 14 Vincenzo Bettoli 16 Giada Calamo 16 Mehmet Ali Gürer 17 Burcu Beksaç 17 Lukasz Matusiak 18 Amelia Glowaczewska 18 Jacek Szepietowski 18 Lennart Emtestam 19 Jan Lapins 19 Hassan Riad Kottb 20 Mohammad Fatani 21 Lisa Weibel 22, 23 Martin Theiler 22, 23 Maïa Delage-Toriel 24 Thi Thanh Hong Lam 24 Aude Nassif 24 Pierre-Andre Becherel 25 Mateja Dolenc-Voljc 26, 27 Nejib Doss 28 Dorra Bouazzi 1, 2 Farida Benhadou 29, 30, 31 Véronique del Marmol 30, 31 Gregor Jemec 1, 2
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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Submitted on : Sunday, April 19, 2020 - 8:20:17 PM
Last modification on : Friday, June 19, 2020 - 4:04:02 PM

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Peter Theut Riis, Ditte Marie Saunte, Viktoria Sigsgaard, Axel Patrice Villani, Philippe Guillem, et al.. Clinical characteristics of pediatric hidradenitis suppurativa: a cross-sectional multicenter study of 140 patients. Archives of Dermatological Research, Springer Verlag, 2020, 1, ⟨10.1007/s00403-020-02053-6⟩. ⟨pasteur-02547303⟩

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