Low and high body mass index in hidradenitis suppurativa patients-different subtypes?
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Low and high body mass index in hidradenitis suppurativa patients-different subtypes? / Theut Riis, P; Saunte, D M; Benhadou, F; Del Marmol, V; Guillem, P; El-Domyati, M; Abdel-Wahab, H; Antoniou, C; Dessinioti, C; Gürer, M A; Beksaç, B; Szepietowski, J C; Matusiak, L; Emtestam, L; Lapins, J; Riad, H; Doss, N; Massa, A F; Hamzavi, I; Nicholson, C; Dolenc-Voljc, M; Kim, K H; Ohn, J; Zouboulis, C C; Karagiannidis, I; Mokos, Z B; Durinec, P; Jemec, G B E.
I: Journal of the European Academy of Dermatology and Venereology : JEADV, Bind 32, Nr. 2, 02.2018, s. 307-312.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Low and high body mass index in hidradenitis suppurativa patients-different subtypes?
AU - Theut Riis, P
AU - Saunte, D M
AU - Benhadou, F
AU - Del Marmol, V
AU - Guillem, P
AU - El-Domyati, M
AU - Abdel-Wahab, H
AU - Antoniou, C
AU - Dessinioti, C
AU - Gürer, M A
AU - Beksaç, B
AU - Szepietowski, J C
AU - Matusiak, L
AU - Emtestam, L
AU - Lapins, J
AU - Riad, H
AU - Doss, N
AU - Massa, A F
AU - Hamzavi, I
AU - Nicholson, C
AU - Dolenc-Voljc, M
AU - Kim, K H
AU - Ohn, J
AU - Zouboulis, C C
AU - Karagiannidis, I
AU - Mokos, Z B
AU - Durinec, P
AU - Jemec, G B E
N1 - © 2017 European Academy of Dermatology and Venereology.
PY - 2018/2
Y1 - 2018/2
N2 - INTRODUCTION: Overweight is a well-established risk factor for hidradenitis suppurativa (HS). In this cross-sectional study, we compare HS patients with a high body mass index (BMI) with HS patients with a low BMI to investigate differences in disease characteristics.MATERIALS AND METHOD: Patients were recruited from 17 dermatological centres from four continents. A total of 246 patients with a BMI below 25 were compared to 205 patients with a BMI of above 35.RESULTS: Patients with a high BMI suffered more severe disease (Hurley, physician global assessment, number of areas affected and patient-reported severity (PRS), P < 0.001 for all). There was no difference in smoking (P = 0.783) nor in family history (P = 0.088). In both low and high BMI patients, early onset of HS was a predictor of positive family history (P < 0.001, for each). For low BMI patients, an increase in BMI significantly increased PRS (P < 0.001). For patients with a high BMI, number of pack-years significantly increased PRS (P = 0.001). Cluster analysis of eruption patterns was location specific for low BMI patients but severity specific for high BMI patients.DISCUSSION: Patients with a low and high BMI could represent two clinically different subtypes. We suggest a non-linear relationship between BMI and impact of HS. As patients go from a low BMI patient to a high BMI patient (or from high to low), eruption patterns and risk factors may change.
AB - INTRODUCTION: Overweight is a well-established risk factor for hidradenitis suppurativa (HS). In this cross-sectional study, we compare HS patients with a high body mass index (BMI) with HS patients with a low BMI to investigate differences in disease characteristics.MATERIALS AND METHOD: Patients were recruited from 17 dermatological centres from four continents. A total of 246 patients with a BMI below 25 were compared to 205 patients with a BMI of above 35.RESULTS: Patients with a high BMI suffered more severe disease (Hurley, physician global assessment, number of areas affected and patient-reported severity (PRS), P < 0.001 for all). There was no difference in smoking (P = 0.783) nor in family history (P = 0.088). In both low and high BMI patients, early onset of HS was a predictor of positive family history (P < 0.001, for each). For low BMI patients, an increase in BMI significantly increased PRS (P < 0.001). For patients with a high BMI, number of pack-years significantly increased PRS (P = 0.001). Cluster analysis of eruption patterns was location specific for low BMI patients but severity specific for high BMI patients.DISCUSSION: Patients with a low and high BMI could represent two clinically different subtypes. We suggest a non-linear relationship between BMI and impact of HS. As patients go from a low BMI patient to a high BMI patient (or from high to low), eruption patterns and risk factors may change.
KW - Adult
KW - Age of Onset
KW - Body Mass Index
KW - Cross-Sectional Studies
KW - Female
KW - Hidradenitis Suppurativa/classification
KW - Humans
KW - Male
KW - Obesity/complications
KW - Protective Factors
KW - Risk Factors
KW - Severity of Illness Index
KW - Smoking
KW - Young Adult
U2 - 10.1111/jdv.14599
DO - 10.1111/jdv.14599
M3 - Journal article
C2 - 28940801
VL - 32
SP - 307
EP - 312
JO - Journal of the European Academy of Dermatology and Venereology
JF - Journal of the European Academy of Dermatology and Venereology
SN - 0926-9959
IS - 2
ER -
ID: 213885881