What Heals Hidradenitis Suppurativa: Surgery, Immunosuppression, or Both?

Hidradenitis suppurativa Research

Author(s): Falola RA, DeFazio MV, Anghel EL, Mitnick CD, Attinger CE, Evans KK

BACKGROUND: Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the skin that is a significant source of impaired quality-of-life for affected individuals. For patients with refractory disease, radical resection of all involved tissue may offer the only potential option for a cure. However, high rates of recurrence after wide local excision have led investigators to seek alternative therapeutic combinations. We present our experience and a literature review.

METHODS: A comprehensive literature review (1982-2016) was performed on PubMed and Ovid MEDLINE, using key words relevant to HS.

RESULTS: A total of 1842 publications were identified, and 15 publications were included in this review on: surgical intervention (n = 10), biologic therapy (n = 4), and joint surgical and biologic treatment (n = 1) of HS. The treatment type, level of evidence, and key findings are assessed and discussed.

CONCLUSIONS: Recent trials demonstrating the safety and efficacy of biologic therapy alone in patients with moderate-to-severe HS have spurred questions regarding the potential utility of these agents as adjuncts to more traditional surgical interventions. The results of the literature search advocate a role for radical resection and biologic therapy in the setting of moderate-to-severe disease. Preliminary results from limited case series suggest a potential role for combined management in the setting of advanced, recalcitrant disease.

Dermatology Journal and/or Publisher

Journal Name: Plastic and reconstructive surgery
Journal Abbreviation: Plast. Reconstr. Surg.
Journal Date Published: 2016-08-25

National Center for Biotechnology Information

PMID: 27556765
Article Source: http://www.ncbi.nlm.nih.gov/pubmed/27556765
Lasted Revision: 2017-08-17

Abstract Source: National Center for Biotechnology Information, U.S. National Library of Medicine Abstract Query for Hidradenitis suppurativa (HS).


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