Department of Dermatology, George Washington School of Medicine and Health Sciences, Washington, District of Columbia.
Division of Dermatology, Children's National Hospital, Washington, District of Columbia.
Pediatrics. 2023 May 1;151(5). doi: 10.1542/peds.2022-061049.
Hidradenitis suppurativa is a chronic inflammatory skin disorder primarily affecting apocrine gland-bearing areas, including the axillae, groin, and buttocks. It is reported in up to 2% of Western populations and with increasing incidence in children and adults. Nearly one-third of hidradenitis suppurativa cases occur in pediatric patients and nearly half of patients endorse initial symptoms in childhood. To date, there are few clinical studies and guidelines for pediatric hidradenitis suppurativa. Here, we review the epidemiology, clinical presentation, comorbidities, and management of pediatric hidradenitis suppurativa. We discuss barriers contributing to delays in diagnosis and the significant physical and emotional impact of the disease on children and adolescents.
化脓性汗腺炎是一种慢性炎症性皮肤疾病，主要影响顶泌汗腺分布区域，包括腋窝、腹股沟和臀部。据报道，其在西方人群中的发病率高达 2%，且在儿童和成人中的发病率呈上升趋势。近三分之一的化脓性汗腺炎发生在儿科患者中，近一半的患者在儿童时期就出现了首发症状。迄今为止，针对儿童化脓性汗腺炎的临床研究和指南较少。在此，我们回顾了儿童化脓性汗腺炎的流行病学、临床表现、合并症和治疗。我们讨论了导致诊断延迟的障碍，以及该病对儿童和青少年的身体和心理的重大影响。
