4.7 Review

New Insight into the Molecular Pathomechanism and Immunomodulatory Treatments of Hidradenitis Suppurativa

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Ustekinumab in the treatment of patients with hidradenitis suppurativa: multicenter case series and systematic review

T. Montero-Vilchez et al.

Summary: Ustekinumab may be an effective and safe option for patients with HS who do not respond to first-line therapies, as most patients showed improvement in symptoms and disease severity after treatment with ustekinumab, and no severe ustekinumab-related adverse events were reported.

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Off-Label studies on anakinra in dermatology: a review

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Summary: Anakinra shows potential efficacy in treating difficult-to-treat dermatologic diseases, with strong evidence for hidradenitis suppurativa, Bechet's disease, Muckle-Wells syndrome, and SAPHO syndrome. Case reports and case series data support its use in other dermatologic conditions. However, further research is needed to clarify its therapeutic role.

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Primary alterations during the development of hidradenitis suppurativa

Z. Dajnoki et al.

Summary: The study systematically investigated inflammatory molecules involved in three stages of HS pathogenesis, revealing that epidermal changes were already detectable in non-lesional HS skin, while inflammatory reactions were more prominent in lesional HS skin.

JOURNAL OF THE EUROPEAN ACADEMY OF DERMATOLOGY AND VENEREOLOGY (2022)

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An Anti-Interleukin-17A Monoclonal Antibody, Ixekizumab, in the Treatment of Resistant Hidradenitis Suppurativa: A Case Series

Pelin Esme et al.

Summary: Ixekizumab may be an effective treatment option for challenging cases of hidradenitis suppurativa, leading to improvement in symptoms within a short period of time.

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International consensus definition of disease flare in hidradenitis suppurativa

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Efficacy and safety of topical resorcinol 15% versus topical clindamycin 1% in the management of mild-to-moderate hidradenitis suppurativa: A retrospective study

Elisa Molinelli et al.

Summary: Topical and systemic antibiotic therapy is the preferred treatment for mild-to-moderate hidradenitis suppurativa (HS), but antibiotic resistance in HS is becoming a concern. This study compared the efficacy of topical clindamycin and resorcinol in HS treatment and found that resorcinol can be a potential alternative to clindamycin, reducing antibiotic use and antimicrobial resistance.

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The Prevalence of Periodontitis and Assessment of Oral Micro-Biota in Patients with Hidradenitis Suppurativa: A Descriptive Cross-Sectional Study

Beata Jastrzab et al.

Summary: This study found a significantly higher prevalence of periodontitis in hidradenitis suppurativa (HS) patients, and the frequency of periodontal pathogens was also higher in HS patients, suggesting a possible connection between periodontitis and the development of HS.

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The Effect of Dalbavancin in Moderate to Severe Hidradenitis Suppurativa

Elisa Molinelli et al.

Summary: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by painful nodules, abscesses, and fistulas in specific areas. Management is challenging, with systemic antibiotics, immunosuppressors, and biologic agents as main treatments. Dalbavancin appears to be an effective supportive therapy for selected patients with HS.

ANTIBIOTICS-BASEL (2022)

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Impact of Hidradenitis Suppurativa Surgical Treatment on Health-Related Life Quality

Marcin Gierek et al.

Summary: This study assessed the quality of life before and after surgical treatment in patients with hidradenitis suppurativa. The results showed that surgical treatment significantly improved the patients' quality of life.

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Review Biochemistry & Molecular Biology

IL-1 Family Cytokines in Inflammatory Dermatoses: Pathogenetic Role and Potential Therapeutic Implications

Helena Iznardo et al.

Summary: The IL-1 family plays a crucial role in regulating the innate immune system and its dysregulation is associated with inflammatory skin diseases. Targeting IL-1 pathways through therapeutic approaches shows promising results in improving these conditions.

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Hidradenitis suppurativa: bacteriological study in surgical treatment

Marcin Gierek et al.

Summary: This study aimed to assess the bacteriological profile of HS before surgical treatment. The results showed that the most common bacteria in HS lesions were Staphylococcus aureus and Proteus mirabilis. Some patients were found to have multi-drug-resistant bacteria.

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Co-Graft of Acellular Dermal Matrix and Split Thickness Skin Graft-A New Reconstructive Surgical Method in the Treatment of Hidradenitis Suppurativa

Marcin Gierek et al.

Summary: Hidradenitis suppurativa is a chronic disease that seriously affects patients' quality of life. This paper presents a new reconstructive surgical method using acellular dermal matrix and split thickness skin graft as a co-graft for wound closure after wide excisions in hidradenitis suppurativa surgery. The initial results are promising and show positive clinical impact.

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Guselkumab in the treatment of concomitant hidradenitis suppurativa, psoriasis, and Crohn's disease

Hannah S. Berman et al.

Summary: The case report describes a 28-year-old woman with HS, psoriasis, and CD, who was successfully treated with guselkumab after failing multiple other biologic agents. Guselkumab represents a promising therapeutic option for recalcitrant HS patients with inflammatory comorbidities in which IL-23 plays a role.

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A Comparison of International Management Guidelines for Hidradenitis Suppurativa

Aleksi J. Hendricks et al.

Summary: This study compares and synthesizes international guidelines for the treatment of hidradenitis suppurativa (HS), finding significant overlaps in treatment recommendations. This can help to promote communication and consensus formation among different organizations.

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Evidence for a 'window of opportunity' in hidradenitis suppurativa treated with adalimumab: a retrospective, real-life multicentre cohort study

A. V. Marzano et al.

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Hidradenitis suppurativa: an update on epidemiology, phenotypes, diagnosis, pathogenesis, comorbidities and quality of life

T. Nguyen et al.

Summary: Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that severely impairs patients' quality of life. Patients with HS often experience significant diagnostic delays and the symptoms can lead to a decrease in quality of life.

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Lymecycline vs. clindamycin plus rifampicin in hidradenitis suppurativa treatment: clinical and ultrasonography evaluation

R. D. Caposiena Caro et al.

Summary: Both lymecycline monotherapy and clindamycin plus rifampicin combination are effective treatments for moderate-severe HS. Nodular-type HS tends to respond better to lymecycline, while abscess/tunnel type HS appears to respond better to clindamycin plus rifampicin. Both groups showed significant improvements in IHS4, pain VAS, and DLQI from baseline, with a more marked improvement in Group A.

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Irrelevance of Panton-Valentine leukocidin in hidradenitis suppurativa: results from a pilot, observational study

Monica Corazza et al.

Summary: The study findings suggest that Panton-Valentine leukocidin (PVL) produced by Staphylococcus aureus does not play a pathogenetic role in Hidradenitis suppurativa (HS), indicating that PVL may not be a potential target for future HS treatments.

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Doppler ultrasound-based noninvasive biomarkers in hidradenitis suppurativa: evaluation of analytical and clinical validity

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Summary: This study evaluated the analytical and clinical validity of sonographic epidermal thickness, Doppler ultrasound, and dermal tunnel diameter in patients with hidradenitis suppurativa (HS). Sonographic epidermal thickness and dermal tunnel diameter showed high analytical validity in assessing HS lesions. Power Doppler intensity demonstrated significant correlation with clinical measures of disease activity, suggesting it is a valid imaging-based biomarker in HS.

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Identifying key components and therapeutic targets of the immune system in hidradenitis suppurativa with an emphasis on neutrophils

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Activity and components of the granulocyte colony-stimulating factor pathway in hidradenitis suppurativa

K. Wolk et al.

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Vascularization and fibrosis are important ultrasonographic tools for assessing response to adalimumab in hidradenitis suppurativa: Prospective study of 32 patients

Gianluca Nazzaro et al.

Summary: This study confirms the efficacy of adalimumab in the treatment of Hidradenitis suppurativa (HS) and highlights the importance of ultrasound and Color Doppler in assessing vascularization and fibrosis.

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Hyun Ji Lee et al.

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Long-standing refractory hidradenitis suppurativa responded to a brodalumab monotherapy in a patient with psoriasis: A possible involvement of Th17 across the spectrum of both diseases

Yasuyuki Yoshida et al.

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A safety review of biologic therapies for the management of hidradenitis suppurativa and unmet needs

Zachary E. Holcomb et al.

Summary: Existing data support excellent short-term and long-term safety profiles for adalimumab, although caution must be taken with use in high-risk patient populations, including those with chronic infections or increased risk of malignancy. Based on their safety data for other indications, additional biologic agents appear safe in HS as well. However, further research is needed to fully understand the safety profiles of these medications in the HS population.

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Lymph Node Involvement in Axillary Hidradenitis Suppurativa: A Clinical, Ultrasonographic and Bacteriological Study Conducted during Radical Surgery

Silvia Vaienti et al.

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Gonca Sarac Ozturk et al.

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Clinical Implementation of Biologics and Small Molecules in the Treatment of Hidradenitis Suppurativa

Pim Aarts et al.

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Efficacy and Safety of Bimekizumab in Moderate to Severe Hidradenitis Suppurativa A Phase 2, Double-blind, Placebo-Controlled Randomized Clinical Trial

Sophie Glatt et al.

Summary: In this study, bimekizumab showed clinically meaningful improvements in patients with moderate to severe HS, demonstrating greater efficacy compared to placebo. The safety profile of bimekizumab was consistent with previous studies, supporting further evaluation for HS treatment.

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Pelin Esme et al.

Summary: This case report presents a patient with hidradenitis suppurativa who had tried various treatments without success, and achieved significant improvement with certolizumab pegol. Certolizumab pegol, although only approved for plaque psoriasis, shows promise as an effective agent for challenging cases of HS.

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Lesional Inflammatory Profile in Hidradenitis Is Not Driven IL-1

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