Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Clinical‑Epidemiological Characteristics of Hidradenitis Suppurativa: A Retrospective Cohort Study

Version 1 : Received: 19 April 2023 / Approved: 20 April 2023 / Online: 20 April 2023 (08:14:30 CEST)

A peer-reviewed article of this Preprint also exists.

Hammud, A.; Avitan-Hersh, E.; Khamaysi, Z. Clinical-Epidemiological Characteristics of Hidradenitis Suppurativa: A Retrospective Cohort Study from a Tertiary Care Centre in Northern Israel. J. Clin. Med. 2023, 12, 3921. Hammud, A.; Avitan-Hersh, E.; Khamaysi, Z. Clinical-Epidemiological Characteristics of Hidradenitis Suppurativa: A Retrospective Cohort Study from a Tertiary Care Centre in Northern Israel. J. Clin. Med. 2023, 12, 3921.

Abstract

Background: Hidradenitis Suppurativa (HS) is characterized by inflamed lesions that appear in apocrine rich flexural areas. Although studies have reported clinical and epidemiological data from western countries, data from the Middle East are scarce. The aim of this study is to characterize the differences in the clinical characteristics of patients with HS of Arab and Jewish ancestry and to review the clinical characteristics, the course of the disease, the comorbidities and the response to treatment. Methods: This is a retrospective study. We collected clinical and demographic data from patient files at the Rambam Healthcare Campus dermatology clinic – a tertiary hospital located at the north of Israel. between 2015-2018. Our results were compared to those of a previously published Israeli control group registered in clalit health services. Results: Of the 164 patients with HS, 96 (58.5%) were men and 68 (41.5%) were women. The average age at diagnosis was 27.5 years and the latency between the onset and diagnosis of the disease was 4 years. we found a higher adjusted prevalence of HS in Arab patients (56%) than in their Jewish counterparts (44%). Gender, smoking and obesity, as well as axilla and buttock lesions, were risk factors for severe HS, with no differences between ethnicities. No differences were documented in comorbidities and in response to Adalimumab, with a high overall response rate of 83%. Conclusions: Our findings revealed differences between Arab and Jewish patients with HS in terms of incidence and gender predominance, while no differences were documented in comorbidities and response to Adalimumab.

Keywords

Hidradenitis Suppurativa; Adalimumab (Humira); Hurley Stages; Arabs and Jews

Subject

Medicine and Pharmacology, Dermatology

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