Xu Yang, Yang Yiling, Zhan Weisheng, Zhao Juhua
Department of Dermatology, Nanchong Central Hospital, The Second Clinical Medical College of North Sichuan Medical College, Nanchong, Sichuan, China.
North Sichuan Medical College, Nanchong, Sichuan, China.
J Dermatol. 2025 May;52(5):922-924. doi: 10.1111/1346-8138.17655. Epub 2025 Feb 1.
Observational studies have indicated an association between chronic kidney disease (CKD) and hidradenitis suppurativa (HS). Nevertheless, causality remains unclear. Bidirectional Mendelian randomization (MR) analyses were conducted to investigate the direction of association between CKD and HS. The inverse variance weighting analysis of random effects was used as the primary analytical method and verified through sensitivity analyses. The MR analysis revealed that CKD is associated with an increased risk of HS (odds ratio = 1.577 [95% confidence interval = 1.065-2.337], p = 0.023), and estimated glomerular filtration rate does not increase the risk of HS. In addition, reverse MR analyses revealed no significant associations between HS and CKD. This study provides evidence that CKD is a significant risk factor for HS. However, further research is needed to explore the association between CKD and HS.
观察性研究表明慢性肾脏病(CKD)与化脓性汗腺炎(HS)之间存在关联。然而,因果关系仍不明确。进行了双向孟德尔随机化(MR)分析以研究CKD与HS之间关联的方向。随机效应的逆方差加权分析被用作主要分析方法,并通过敏感性分析进行验证。MR分析显示,CKD与HS风险增加相关(优势比=1.577[95%置信区间=1.065-2.337],p=0.023),且估计肾小球滤过率不会增加HS风险。此外,反向MR分析显示HS与CKD之间无显著关联。本研究提供了证据表明CKD是HS的一个重要危险因素。然而,需要进一步研究来探索CKD与HS之间的关联。