Department of Dermatology, Venereology and Allergology, Medical University, Chałubińskiego 1, PL-50-368 Wrocław, Poland.
Acta Derm Venereol. 2018 Feb 7;98(2):191-194. doi: 10.2340/00015555-2815.
A growing body of research has indicated that pruritus is an important feature of hidradenitis suppurativa (HS). This study evaluated pruritus and pain among 103 patients with HS. Pruritus and pain intensity were assessed with a visual analogue scale, numerical rating scale and 4-item Itch Questionnaire. Dermatology Life Quality Index (DLQI) was implemented to assess quality of life (QoL) issues. Various clinical features and factors influencing pruritus were also examined. Pruritus and pain during the last week were reported among 41.7% and 77.5% of patients, respectively. The presence of pruritus did not have an impact on DLQI, nor did it show interaction with the pain in this regard. The presence of pain was a crucial contributor, even more relevant than disease severity. None-theless, intensity of pruritus correlated positively with DLQI. The most troublesome symptom of HS was pain, followed by exudation, pruritus, appearance and smell, consecutively. Pruritus of mild-to-moderate intensity is a common HS-associated symptom that adversely affects patients' QoL.
越来越多的研究表明瘙痒是化脓性汗腺炎（HS）的一个重要特征。本研究评估了 103 例 HS 患者的瘙痒和疼痛情况。瘙痒和疼痛强度采用视觉模拟评分法、数字评分法和 4 项瘙痒问卷进行评估。皮肤病生活质量指数（DLQI）用于评估生活质量（QoL）问题。还检查了各种临床特征和影响瘙痒的因素。分别有 41.7%和 77.5%的患者报告了过去一周的瘙痒和疼痛。瘙痒的存在对 DLQI 没有影响，在这方面也没有与疼痛相互作用。疼痛的存在是一个重要的因素，甚至比疾病严重程度更相关。然而，瘙痒的强度与 DLQI 呈正相关。HS 最麻烦的症状是疼痛，其次是渗出、瘙痒、外观和气味，依次排列。轻度至中度强度的瘙痒是化脓性汗腺炎的常见相关症状，会对患者的生活质量产生不利影响。
