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Hidradenitis suppurativa and sleep: a systematic review

Journal

ARCHIVES OF DERMATOLOGICAL RESEARCH
Volume 315, Issue 5, Pages 1409-1415

Publisher

SPRINGER
DOI: 10.1007/s00403-022-02460-x

Keywords

Insomnia; Hypersomnia; Sleep apnea; Wakefulness; Quality of life; Mental health; Hidradenitis suppurativa

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Chronic inflammatory skin disorders like hidradenitis suppurativa (HS) have been found to affect sleep quality. This systematic review of seven studies involving 343,870 subjects revealed that HS patients have a higher likelihood of having sleep disorders, such as obstructive sleep apnea, and report worse sleep quality due to symptoms like pruritus and pain. This suggests that HS patients may be at risk for additional cardiovascular comorbidities and poorer quality of life due to these sleep disorders and poor sleep quality.
Chronic inflammatory skin disorders are known to affect sleep quality; however, the relationship between hidradenitis suppurativa (HS) and sleep is not well understood. We performed a systematic review of HS and sleep disorders and sleep quality in HS patients. We identified seven studies comprising 343,870 subjects. We found that HS patients have a higher likelihood of having a sleep disorder such as obstructive sleep apnea, as well as other non-sleep apnea. Several studies showed that patients reported worse sleep quality due to symptoms of HS such as pruritus and pain. HS patients may be at risk for additional cardiovascular comorbidities and poorer quality of life secondary to these sleep disorders and poor sleep quality. Further high-quality research evaluating these associations is warranted.

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