Caliezi Annik, Rabufetti Andrea, Hunger Robert, Wolf Ronald, Seyed Jafari S Morteza
Department of Dermatology, University Hospital of Bern, 3010 Bern, Switzerland.
J Clin Med. 2025 Jan 30;14(3):910. doi: 10.3390/jcm14030910.
Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that affects about 1% of the world's population. It is characterized by round, painful nodules, abscesses or sinuses, often in the genital area. HS has the worst impact on quality of life (QoL) of any dermatological condition. : The aim of this systematic review is to analyze how HS affects patients' sexual quality of life (SQoL), herein defined as a person's evaluation of their sexual relationships, including physical and mental aspects, and their response to this evaluation. : The systematic search yielded 41 primary results. After screening, 6 studies were selected for this review. Men with HS suffer from lower SQoL than male controls and sexual dysfunction is more common in both male and female patients than in controls. Sexual dysfunction is worse in all HS patients than in controls, and worse in female patients than in male patients. Disease severity is not related to any of the sexual concepts analysed. : HS has a strong impact on SQoL, as patients suffer from sexual dysfunction and sexual distress more often than healthy controls, and feel that their relationships are negatively affected by the disease. Therefore, the impact of HS on SQoL should be further investigated, especially the psychological aspect of SQoL.
化脓性汗腺炎（HS）是一种慢性炎症性皮肤病，影响着全球约1%的人口。其特征为圆形、疼痛性结节、脓肿或窦道，常见于生殖器部位。在所有皮肤病中，HS对生活质量（QoL）的影响最为严重。本系统评价的目的是分析HS如何影响患者的性生活质量（SQoL），此处定义为个人对其性关系的评价，包括生理和心理方面，以及对该评价的反应。系统检索产生了41项初步结果。筛选后，选择了6项研究进行本综述。患有HS的男性的SQoL低于男性对照组，性功能障碍在男性和女性患者中比在对照组中更为常见。所有HS患者的性功能障碍都比对照组严重，女性患者比男性患者更严重。疾病严重程度与所分析的任何性观念均无关。HS对SQoL有强烈影响，因为患者比健康对照组更常出现性功能障碍和性困扰，并认为他们的关系受到该疾病的负面影响。因此，应进一步研究HS对SQoL的影响，尤其是SQoL的心理方面。
