Department of Dermatology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea.
J Eur Acad Dermatol Venereol. 2018 Oct;32(10):1784-1790. doi: 10.1111/jdv.15071. Epub 2018 May 31.
The prevalence of hidradenitis suppurativa (HS) in Asia is unknown. The associations between HS and other autoimmune disorders have rarely been reported.
We sought to determine the prevalence of and diseases associated with HS using the National Health Insurance (NHI) database.
We examined Korean NHI claim database data from 2007 to 2016. We enrolled all patients with HS and age- and sex-matched control subjects without HS. We estimated the period prevalence of HS and associated comorbidities in Korea.
We identified 28 516 patients with HS (61.3% males and 38.7% females). The period prevalence rate was 0.06%, 55.8 patients (95% confidence interval 55.1-56.4) per 100 000 persons, and the female-to-male ratio was 1 : 1.6. HS patients were at significantly increased risk of rheumatoid arthritis, ankylosing spondylitis, type 1 diabetes, ulcerative colitis, type 2 diabetes, hypertension, hyperlipidaemia, acne conglobata, pilonidal cysts, psoriasis, pyoderma gangrenosum, alopecia areata and vitiligo.
The overall prevalence of HS in Korea was lower than that in Western populations, and male patients predominated.
化脓性汗腺炎（HS）在亚洲的流行情况尚不清楚。HS 与其他自身免疫性疾病之间的关联鲜有报道。
我们试图利用国民健康保险（NHI）数据库来确定 HS 的流行情况及其相关疾病。
我们研究了 2007 年至 2016 年的韩国 NHI 理赔数据库数据。我们纳入了所有 HS 患者和年龄、性别相匹配的无 HS 对照组患者。我们估计了韩国 HS 及相关合并症的时期患病率。
我们共纳入了 28516 例 HS 患者（61.3%为男性，38.7%为女性）。HS 的时期患病率为 0.06%，每 100000 人中有 55.8 例（95%置信区间 55.1-56.4），女性与男性的比例为 1:1.6。与对照组相比，HS 患者患类风湿关节炎、强直性脊柱炎、1 型糖尿病、溃疡性结肠炎、2 型糖尿病、高血压、高脂血症、聚合性痤疮、藏毛窦、银屑病、坏疽性脓皮病、斑秃和白癜风的风险显著增加。
韩国 HS 的总体患病率低于西方人群，且以男性患者为主。
