Hidradenitis Suppurativa: Disease Burden and Etiology in Skin of Color

Dermatology. 2017;233(6):456-461. doi: 10.1159/000486741. Epub 2018 Mar 1.

Abstract

Hidradenitis suppurativa (HS) is a chronic, debilitating skin disease. Although most studies on HS are conducted in largely Caucasian populations, evidence demonstrates a higher prevalence in patients with skin of color, including African and Hispanic populations. These racial subgroups are likely at risk for greater disease burden due to a higher prevalence of components of the metabolic syndrome, comorbid depression, and low socioeconomic status; however, there is a paucity of research in these populations. Additionally, studies examining the genetic and anatomical basis for HS, as well as the response to HS therapies, are lacking for patients with skin of color. Complicating this issue is the limited access to effective medical care, including dermatologists, for African and Hispanic populations as well as other minority groups. In this review, we identify gaps in the knowledge base, highlight the association between HS and patients with skin of color, and provide direction for much needed research into this condition.

Keywords: Disease burden; Hidradenitis suppurativa; Skin of color.

Publication types

  • Review

MeSH terms

  • Black People*
  • Depression / etiology
  • Health Services Accessibility
  • Hidradenitis Suppurativa / drug therapy
  • Hidradenitis Suppurativa / ethnology*
  • Hidradenitis Suppurativa / etiology*
  • Hidradenitis Suppurativa / psychology
  • Humans
  • Metabolic Syndrome / ethnology
  • Quality of Life
  • Risk Factors
  • Social Class
  • White People*