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化脓性汗腺炎的临床特征与患者预后:一项横断面回顾性研究

Clinical Features and Patient Outcomes of Hidradenitis Suppurativa: A Cross-Sectional Retrospective Study.

作者信息

Kim Whan B, Sibbald R Gary, Hu Howard, Bashash Morteza, Anooshirvani Niloofar, Coutts Patricia, Alavi Afsaneh

机构信息

Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada.

Division of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, Canada Women's College Hospital, Toronto, ON, Canada Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada Wound Healing Clinic, Mississauga, ON, Canada.

出版信息

J Cutan Med Surg. 2016 Jan;20(1):52-7. doi: 10.1177/1203475415602840. Epub 2015 Aug 28.

Abstract

BACKGROUND

Despite the high burden of disease associated with hidradenitis suppurativa (HS), epidemiologic data are scarce.

OBJECTIVE

The objective was to review demographic features and clinical findings in 80 HS patients from 2 referral centres in Ontario, Canada, from October 2013 to September 2014, and to assess for factors that are associated with more advanced disease.

METHODS

Multicentre cross-sectional study. The data on demographic and clinical features were obtained by questionnaires and chart review.

RESULTS

Of a total of 80 patients (67.5% females), percentages of patients in Hurley stages I, II, and III were 15.4%, 55.8%, and 28.9%, respectively. Most patients were not diagnosed for more than 1 year (70.1%). Patients with more severe disease were more likely to be females and to have a greater number of lesions and were less likely to be diagnosed initially by a dermatologist.

CONCLUSIONS

This study documents the common demographic and clinical features of HS to optimize resource allocation and patient outcomes.

摘要

背景

尽管化脓性汗腺炎(HS)相关疾病负担很高,但流行病学数据却很匮乏。

目的

回顾2013年10月至2014年9月期间加拿大安大略省2个转诊中心80例HS患者的人口统计学特征和临床发现,并评估与更严重疾病相关的因素。

方法

多中心横断面研究。通过问卷调查和病历审查获取人口统计学和临床特征数据。

结果

在总共80例患者中(女性占67.5%),Hurley I期、II期和III期患者的比例分别为15.4%、55.8%和28.9%。大多数患者在1年多后才被诊断出来(70.1%)。病情更严重的患者更可能为女性,有更多的皮损,并且最初由皮肤科医生诊断的可能性较小。

结论

本研究记录了HS常见的人口统计学和临床特征,以优化资源分配和患者治疗效果。

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