Hirvonen Mirkka J, Pasternack Rafael, Lipitsä Tiina, Vihervaara Armi, Harvima Rauno, Ranta Martta, Sintonen Harri, Huilaja Laura
AbbVie Oy, Espoo, Finland.
Department of Dermatology, Tampere University Hospital and Tampere University, Tampere, Finland.
Skin Appendage Disord. 2022 May;8(3):221-227. doi: 10.1159/000520839. Epub 2021 Dec 27.
Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease associated with various comorbidities and diminished quality of life (QoL). Among dermatological conditions, HS is reported to most severely diminish QoL. This study aimed to analyse the health-related QoL (HRQoL) of patients with HS in more detail by using generic to disease-specific HRQoL questionnaires. Correlations between the HRQoL measures and HS disease severity measures were assessed.
We analysed the HRQoL and clinical severity of patients with HS ( = 92) treated in 5 Finnish hospitals using HRQoL measurement tools most often used in dermatological clinics, as well as the generic 15D instrument (standardized and self-administered 15-dimensional measure of HRQoL). The disease severity was assessed using the Hurley stage, International Hidradenitis Suppurativa Severity Score System, and disease severity evaluation by the investigator.
The mean 15D score of HS patients was low and comparable with that of patients with cancers. No correlation was found between HS severity measures and 15D score, indicating that even mild HS has a high impact on HRQoL.
Our findings strengthen the understanding about HS as a debilitating disease and even compared with non-dermatological conditions and highlight the need of comprehensive care of patients with HS.
化脓性汗腺炎(HS)是一种慢性炎症性皮肤病,伴有多种合并症且生活质量(QoL)下降。在皮肤病中,据报道HS对生活质量的影响最为严重。本研究旨在通过使用从通用到疾病特异性的生活质量问卷,更详细地分析HS患者的健康相关生活质量(HRQoL)。评估了HRQoL测量指标与HS疾病严重程度测量指标之间的相关性。
我们使用皮肤科诊所最常用的HRQoL测量工具以及通用的15D工具(标准化的、可自行填写的15维度HRQoL测量方法),分析了芬兰5家医院治疗的92例HS患者的HRQoL和临床严重程度。使用Hurley分期、国际化脓性汗腺炎严重程度评分系统以及研究者进行的疾病严重程度评估来评估疾病严重程度。
HS患者的平均15D评分较低,与癌症患者相当。未发现HS严重程度测量指标与15D评分之间存在相关性,这表明即使是轻度HS对HRQoL也有很大影响。
我们的研究结果加深了对HS作为一种使人衰弱疾病的理解,甚至与非皮肤病状况相比,并强调了对HS患者进行全面护理的必要性。