Singh Nikhi P, Burge Kaitlin, Drummond Sean, Zaniewski Ryan, MacLeod Spencer, Moradi Lauren, Hattaway Reagan, King Timothy W, Mayo Tiffany, de la Torre Jorge I
From the Division of Plastic Surgery, Department of Surgery, Indiana University, Indianapolis, IN.
Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Plast Reconstr Surg Glob Open. 2025 Jun 10;13(6):e6803. doi: 10.1097/GOX.0000000000006803. eCollection 2025 Jun.
Hidradenitis suppurativa (H/S) disproportionately affects African Americans. We describe those affected by this disease to evaluate potential racial disparities.
This retrospective review examined 1148 patients with H/S cared for by plastic surgery and/or dermatology. Analysis was performed between African Americans and non-African Americans (White, Hispanic, Asian, and other races).
Most patients identified as women (76%) and African American (66%). Mean age across all patients was 36.3 years and mean body mass index was 36.1 kg/m². A total of 1936 cases of H/S were identified, and African Americans more commonly experienced H/S of the bilateral axilla ( < 0.001), buttocks ( < 0.001), bilateral breasts ( = 0.001), abdomen ( < 0.001), and thigh ( < 0.001) than their non-African American counterparts. African Americans were more likely to undergo medical management only ( < 0.001), and non-African Americans were more likely to undergo surgery for H/S ( < 0.001). There was no difference in the rate of resolution of symptoms across cohorts; however, African American patients reported higher rates of symptom improvement than non-African Americans ( < 0.001). Non-African Americans had more emergency room visits (75) and more hospitalizations (67) than African Americans, who had 47 emergency room visits and 41 hospitalizations, respectively ( = 0.01 and = 0.05).
African Americans may face disparities in the management of this complex and often chronic disease course. It is important that those affected by H/S are managed by a multidisciplinary team to ensure optimal patient care.
化脓性汗腺炎（H/S）对非裔美国人的影响尤为严重。我们对受这种疾病影响的人群进行描述，以评估潜在的种族差异。
这项回顾性研究检查了1148例接受整形手术和/或皮肤科治疗的H/S患者。对非裔美国人和非非裔美国人（白人、西班牙裔、亚裔及其他种族）进行了分析。
大多数患者为女性（76%）且是非裔美国人（66%）。所有患者的平均年龄为36.3岁，平均体重指数为36.1kg/m²。共确诊1936例H/S病例，与非非裔美国人相比，非裔美国人双侧腋窝（<0.001）、臀部（<0.001）、双侧乳房（=0.001）、腹部（<0.001）和大腿（<0.001）发生H/S更为常见。非裔美国人更有可能仅接受药物治疗（<0.001），而非非裔美国人更有可能接受H/S手术（<0.001）。不同队列之间症状缓解率没有差异；然而，非裔美国患者报告的症状改善率高于非非裔美国人（<0.001）。非非裔美国人的急诊就诊次数（75次）和住院次数（67次）多于非裔美国人，非裔美国人的急诊就诊次数和住院次数分别为47次和41次（=0.01和=0.05）。
非裔美国人在这种复杂且通常为慢性病的治疗管理中可能面临差异。受H/S影响的患者由多学科团队进行管理以确保最佳的患者护理非常重要。
