Abstract:
BACKGROUND:Hidradenitis suppurativa (HS) is a chronic inflammatory disease involving intertriginous skin. Previous epidemiologic studies have been limited by small sample size. OBJECTIVE:We sought to describe the prevalence and comorbidities of HS in a large patient care database. METHODS:In this retrospective case-control study, we chart-validated all patients within a hospital database who received at least 1 billing code for HS between 1980 and 2013. Verified cases were matched with controls based on age, gender, and race. Prevalences of a priori selected comorbidities were compared between HS and control groups. RESULTS:A total of 2292 patients at Massachusetts General Hospital received at least 1 code for HS. A total of 1776 cases had a validated diagnosis of HS, yielding a prevalence of 0.08%. In unadjusted analysis, all comorbidities were diagnosed significantly more in HS compared with control including (in rank order of likelihood): smoking, arthropathies, dyslipidemia, polycystic ovarian syndrome, psychiatric disorders, obesity, drug dependence, hypertension, diabetes, thyroid disease, alcohol dependence, and lymphoma (all P < .01). LIMITATIONS:Control subjects were not validated for absence of HS and comorbidity validation was not performed for either group. CONCLUSIONS:Our results highlights the high comorbidity burden of patients with HS compared with matched control subjects.
journal_name
J Am Acad Dermatoljournal_title
Journal of the American Academy of Dermatologyauthors
Shlyankevich J,Chen AJ,Kim GE,Kimball ABdoi
10.1016/j.jaad.2014.09.012subject
Has Abstractpub_date
2014-12-01 00:00:00pages
1144-50issue
6eissn
0190-9622issn
1097-6787pii
S0190-9622(14)01912-4journal_volume
71pub_type
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