4.5 Article

African American race is a risk factor for severe hidradenitis suppurativa

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Summary: The study indicates that various lifestyle modifications, such as significant weight loss, smoking cessation, use of gentle skin and depilatory products, and menstrual regulation, are associated with improvements in the severity of HS symptoms.

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Summary: Recent analysis of randomized controlled trials (RCTs) for Hidradenitis Suppurativa (HS) found that the majority of participants were Caucasian and of African descent, while Hispanic, Asian, American Indian, and Native Hawaiian participants were underrepresented. No trials included sub-analysis of treatment efficacy based on race or ethnicity.

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Summary: This multicentre study investigated the demographic and clinical features of Hidradenitis suppurativa (HS) and determined risk factors of disease severity among 1221 patients from 29 centres. Male sex, involvement of the genitals, and inguinal region were found to be important determinants of disease severity, while comorbidity, longer disease duration, longer diagnosis delay, and a higher number of smoking pack-years were associated with more severe disease. The study provides insight into the variation in HS demographics and clinical features, contributing to a better understanding of the disease and its severity factors.

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Summary: Hidradenitis suppurativa is a chronic relapsing disease with known psychosocial impacts. Adalimumab has shown efficacy in improving symptoms for some patients but also comes with adverse effects. Holistic and long-term follow-up approaches are needed to address both physical and psychological impacts.

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Summary: The study identified mutations in the Notch pathway for all families, as well as mutations in the PSENEN and APH1B of the gamma-secretase genes. Additionally, 161 variants of unknown significance that segregated with the disease within these families were reported. The study concluded that HS is rarely caused by single-gene mutations, suggesting future genetic studies focus on genome-wide association with thousands of cases for suspected polygenic diseases.

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Summary: This study investigated the race-specific prevalence of Hidradenitis suppurativa (HS) and found the highest rates among African American populations, lowest among Hispanics/Latinos, and intermediate among Caucasian populations. Other ethnic groups had minor prevalence compared to African American and Caucasian populations. Further international research is needed to accurately assess the frequency and underlying etiology of HS among varying racial populations.

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