Vulvoperineal Hidradenitis Suppurativa: Diagnosis, Treatment, and Management of Deformities

Importance: Hidradenitis suppurativa (HS) is a chronic, inflammatory disorder affecting skin of intertriginous areas that is often encountered and treated by nondermatologic specialists. Objective; The purpose of this literature review is to provide a comprehensive, clinical source of information on HS as it relates to incidence of disease, pathophysiology, diagnosis, and overall management of this condition. Evidence Acquisition: Sources were obtained through a comprehensive literature search using PubMed and PMC. Various terms were used to query the database, including hidradenitis suppurativa, pathogenesis, prevalence, management, surgery, perineal, and vulva. Results: Underreported prevalence and unknown pathogenesis have subsequently led to variable approaches in clinical management, often employing a combination of medical and surgical management. Conclusion: Early diagnosis and treatment of HS may lead to better disease control and minimize patients' associated morbidity related to disease. Relevance: Knowledge of vulvoperineal hidradenitis is necessary for gynecologists and primary care physicians to ensure early diagnosis, management, and referral for optimal patient outcomes. Target Audience: Obstetricians and gynecologists, family physicians. Learning Objectives: After completing this activity, the learner should be better able to describe the presentation and staging of hidradenitis suppurativa; explain possible medical and surgical treatments; and identify options for correction of vulvar deformities.

Automated summary

Hidradenitis suppurativa is a chronic, inflammatory disorder with underreported prevalence and unknown pathogenesis, leading to variable approaches in clinical management. Early diagnosis and treatment are crucial for better disease control and minimizing associated morbidity. Knowledge of vulvoperineal hidradenitis is essential for gynecologists and primary care physicians for optimal patient outcomes.