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1
North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part I: Diagnosis, evaluation, and the use of complementary and procedural management.北美化脓性汗腺炎临床管理指南:美国和加拿大化脓性汗腺炎基金会的出版物:第一部分:诊断、评估和补充及程序管理的应用。
J Am Acad Dermatol. 2019 Jul;81(1):76-90. doi: 10.1016/j.jaad.2019.02.067. Epub 2019 Mar 11.
2
North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part II: Topical, intralesional, and systemic medical management.北美化脓性汗腺炎临床管理指南:美国和加拿大化脓性汗腺炎基金会联合发布:第二部分:局部、皮损内和全身医学治疗。
J Am Acad Dermatol. 2019 Jul;81(1):91-101. doi: 10.1016/j.jaad.2019.02.068. Epub 2019 Mar 11.
3
Two Cases of Hidradenitis Suppurativa Treated with Adalimumab at the Department of Dermatology and Venereology, Clinical Hospital Mostar.皮肤科和性病科在莫斯塔尔临床医院用阿达木单抗治疗两例化脓性汗腺炎。
Acta Dermatovenerol Croat. 2021 Jul;29(2):108-110.
4
S2k guideline for the treatment of hidradenitis suppurativa / acne inversa - Short version.S2k 指南治疗化脓性汗腺炎/反向痤疮 - 简化版。
J Dtsch Dermatol Ges. 2024 Jun;22(6):868-889. doi: 10.1111/ddg.15412. Epub 2024 May 21.
5
Rifampin and clindamycin are safe long-term: Response to "North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations Part II: Topical, intralesional, and systemic medical management".利福平与克林霉素长期使用安全:对《北美化脓性汗腺炎临床管理指南:美国和加拿大化脓性汗腺炎基金会出版物第二部分:局部、病灶内及全身药物治疗》的回应
J Am Acad Dermatol. 2023 Jan;88(1):e31. doi: 10.1016/j.jaad.2019.08.088. Epub 2019 Sep 27.
6
Approach to the Management of Patients With Hidradenitis Suppurativa: A Consensus Document.《化脓性汗腺炎患者管理指南:共识文件》。
J Cutan Med Surg. 2017 Nov/Dec;21(6):513-524. doi: 10.1177/1203475417716117. Epub 2017 Jun 22.
7
[S1 guideline for the treatment of hidradenitis suppurativa / acne inversa * (number ICD-10 L73.2)].化脓性汗腺炎/反向性痤疮治疗的S1指南*(国际疾病分类第十版编号L73.2)
J Dtsch Dermatol Ges. 2012 Oct;10 Suppl 5:S1-31. doi: 10.1111/j.1610-0387.2012.08006.x.
8
Hidradenitis Suppurativa: A Systematic Review and Meta-analysis of Therapeutic Interventions.化脓性汗腺炎:治疗干预的系统评价和荟萃分析。
Indian J Dermatol Venereol Leprol. 2019 May-Jun;85(3):248-257. doi: 10.4103/ijdvl.IJDVL_69_18.
9
A Comparison of International Management Guidelines for Hidradenitis Suppurativa.《化脓性汗腺炎国际管理指南比较》
Dermatology. 2021;237(1):81-96. doi: 10.1159/000503605. Epub 2019 Oct 23.
10
Hidradenitis suppurativa/acne inversa: a practical framework for treatment optimization - systematic review and recommendations from the HS ALLIANCE working group.化脓性汗腺炎/反向痤疮:治疗优化的实用框架 - HS ALLIANCE 工作组的系统评价和建议。
J Eur Acad Dermatol Venereol. 2019 Jan;33(1):19-31. doi: 10.1111/jdv.15233. Epub 2018 Oct 23.

引用本文的文献

1
Exploring the Experience of Black Americans Living with Hidradenitis Suppurativa in the United States Healthcare System: A Narrative Review.探索美国医疗系统中患有化脓性汗腺炎的非裔美国人的经历:一项叙述性综述。
Dermatol Ther (Heidelb). 2025 Jul 25. doi: 10.1007/s13555-025-01496-x.
2
Current Treatments and Future Directions for Hidradenitis Suppurativa: a Narrative Review of Completed and Ongoing Phase 3 Clinical Trials of Biologic Therapies.化脓性汗腺炎的当前治疗方法与未来方向:生物疗法已完成及正在进行的3期临床试验的叙述性综述
Dermatol Ther (Heidelb). 2025 Jul 18. doi: 10.1007/s13555-025-01487-y.
3
Immediate versus Delayed Wound Closure in Hidradenitis Suppurativa Surgery: A Comparative Outcomes Study.化脓性汗腺炎手术中即时缝合与延迟缝合的比较结果研究
Indian J Plast Surg. 2025 Jan 31;58(3):191-198. doi: 10.1055/s-0045-1802326. eCollection 2025 Jun.
4
Towards a Paradigm Shift in Delivering Hidradenitis Suppurativa Care: a Narrative Review.朝着化脓性汗腺炎护理的范式转变:一项叙述性综述
Dermatol Ther (Heidelb). 2025 Jun 29. doi: 10.1007/s13555-025-01462-7.
5
Hidradenitis Suppurativa Mimicking Tuberculosis Scrofuloderma: The Role of Dermatologic Ultrasound as a Diagnostic Tool.模仿结核性皮肤瘰疬的化脓性汗腺炎:皮肤超声作为诊断工具的作用
Cureus. 2025 May 7;17(5):e83659. doi: 10.7759/cureus.83659. eCollection 2025 May.
6
Management and Burden of Hidradenitis Suppurativa: An Italian Hybrid Real-World Study.化脓性汗腺炎的管理与负担:一项意大利混合现实世界研究。
Dermatol Ther (Heidelb). 2025 May 9. doi: 10.1007/s13555-025-01407-0.
7
Utilizing Reverse Axillary Mapping in the Surgical Treatment of Axillary Hidradenitis Suppurativa: A Novel Approach.反向腋窝定位在化脓性汗腺炎手术治疗中的应用:一种新方法。
Plast Reconstr Surg Glob Open. 2025 May 8;13(5):e6750. doi: 10.1097/GOX.0000000000006750. eCollection 2025 May.
8
Energy-based device innovations including laser and non-laser therapies in hidradenitis suppurativa treatment.基于能量的设备创新,包括激光和非激光疗法在化脓性汗腺炎治疗中的应用。
Arch Dermatol Res. 2025 Apr 11;317(1):697. doi: 10.1007/s00403-025-04184-0.
9
Management of hidradenitis suppurativa in Tunisia: A Delphi expert consensus.突尼斯化脓性汗腺炎的管理:德尔菲专家共识
J Cutan Aesthet Surg. 2025 Apr-Jun;18(2):92-100. doi: 10.25259/jcas_166_23. Epub 2024 Sep 20.
10
Comprehensive and Updated Algorithm of Hidradenitis Suppurativa Management from the Experts.专家提供的化脓性汗腺炎综合更新管理算法
Am J Clin Dermatol. 2025 Apr 3. doi: 10.1007/s40257-025-00940-0.

本文引用的文献

1
Association of Low Socioeconomic Status With Hidradenitis Suppurativa in the United States.美国社会经济地位低下与化脓性汗腺炎的关联。
JAMA Dermatol. 2018 Sep 1;154(9):1086-1088. doi: 10.1001/jamadermatol.2018.2117.
2
Quality of life and sexual health in patients with hidradenitis suppurativa.化脓性汗腺炎患者的生活质量与性健康
Int J Womens Dermatol. 2018 Feb 1;4(2):74-79. doi: 10.1016/j.ijwd.2017.10.007. eCollection 2018 Jun.
3
Overall and Subgroup Prevalence of Crohn Disease Among Patients With Hidradenitis Suppurativa: A Population-Based Analysis in the United States.总体和亚组人群中化脓性汗腺炎患者克罗恩病的患病率:美国基于人群的分析。
JAMA Dermatol. 2018 Jul 1;154(7):814-818. doi: 10.1001/jamadermatol.2018.0878.
4
Somatic and psychiatric comorbidities of hidradenitis suppurativa in children and adolescents.儿童和青少年化脓性汗腺炎的躯体和精神共病。
J Am Acad Dermatol. 2018 Sep;79(3):514-519. doi: 10.1016/j.jaad.2018.02.067. Epub 2018 Mar 5.
5
Opioid, alcohol, and cannabis misuse among patients with hidradenitis suppurativa: A population-based analysis in the United States.美国基于人群的数据分析中,化脓性汗腺炎患者的阿片类药物、酒精和大麻滥用情况。
J Am Acad Dermatol. 2018 Sep;79(3):495-500.e1. doi: 10.1016/j.jaad.2018.02.053. Epub 2018 Mar 1.
6
Incidence of sexual dysfunction among patients with hidradenitis suppurativa: a population-based retrospective analysis.化脓性汗腺炎患者性功能障碍的发生率:一项基于人群的回顾性分析。
Br J Dermatol. 2018 Aug;179(2):502-503. doi: 10.1111/bjd.16483. Epub 2018 Jun 11.
7
Hidradenitis Suppurativa Is Associated with Polycystic Ovary Syndrome: A Population-Based Analysis in the United States.化脓性汗腺炎与多囊卵巢综合征相关:美国基于人群的分析。
J Invest Dermatol. 2018 Jun;138(6):1288-1292. doi: 10.1016/j.jid.2018.01.009. Epub 2018 Feb 19.
8
Risk Factors for Hidradenitis Suppurativa in Patients with Inflammatory Bowel Disease.炎症性肠病患者化脓性汗腺炎的风险因素。
Dig Dis Sci. 2018 Mar;63(3):755-760. doi: 10.1007/s10620-018-4919-5. Epub 2018 Jan 22.
9
Prevalence of type 2 diabetes mellitus among patients with hidradenitis suppurativa in the United States.美国化脓性汗腺炎患者 2 型糖尿病的患病率。
J Am Acad Dermatol. 2018 Jul;79(1):71-76. doi: 10.1016/j.jaad.2018.01.014. Epub 2018 Jan 12.
10
The Contribution of Malodour in Quality of Life of Patients With Hidradenitis Suppurativa.恶臭对化脓性汗腺炎患者生活质量的影响。
J Cutan Med Surg. 2018 Mar/Apr;22(2):166-174. doi: 10.1177/1203475417745826. Epub 2017 Dec 12.

北美化脓性汗腺炎临床管理指南:美国和加拿大化脓性汗腺炎基金会的出版物:第一部分:诊断、评估和补充及程序管理的应用。

North American clinical management guidelines for hidradenitis suppurativa: A publication from the United States and Canadian Hidradenitis Suppurativa Foundations: Part I: Diagnosis, evaluation, and the use of complementary and procedural management.

机构信息

Sutter Health, Sacramento, California.

Department of Dermatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

出版信息

J Am Acad Dermatol. 2019 Jul;81(1):76-90. doi: 10.1016/j.jaad.2019.02.067. Epub 2019 Mar 11.

DOI:10.1016/j.jaad.2019.02.067
PMID:30872156
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9131894/
Abstract

Hidradenitis suppurativa is a chronic inflammatory disorder affecting hair follicles, with profoundly negative impact on patient quality of life. Evidence informing ideal evaluation and management of patients with hidradenitis suppurativa is still sparse in many areas, but it has grown substantially in the last decade. Part I of this evidence-based guideline is presented to support health care practitioners as they select optimal management strategies, including diagnostic testing, comorbidity screening, and both complementary and procedural treatment options. Recommendations and evidence grading based on the evidence available at the time of the review are provided.

摘要

化脓性汗腺炎是一种影响毛囊的慢性炎症性疾病,对患者的生活质量有严重的负面影响。在许多领域,仍缺乏有关化脓性汗腺炎患者理想评估和管理的证据,但在过去十年中,这方面的证据已大幅增加。本循证指南的第一部分旨在为医疗保健从业者提供支持,帮助他们选择最佳的管理策略,包括诊断性检查、合并症筛查以及补充和程序治疗选择。根据审查时的可用证据提供了建议和证据分级。