Editor’s Pick: Hidradenitis Suppurativa (Acne Inversa): A Review of Aetiopathogenesis and Management

The Editor’s pick for this issue is an informative review from Jayarajan and Bulinska, discussing the aetiopathogenesis and management of hidradenitis suppurativa. This debilitating, chronic, relapsing inflammatory condition has been a low priority disease over the last few decades, but it has recently seen an increase in interest. The psychological impact of hidradenitis suppurativa strongly affects the patient’s quality of life. A collaborative approach between the dermatologist and the plastic surgeon is needed to achieve the most advantageous outcome in management. Samantha Warne

*Rajshree Jayarajan,1 Agata Bulinska2

1. Department of Plastic Surgery, Leicester Royal Infirmary, Leicester, UK
2. Department of Dermatology, Leicester Royal Infirmary, Leicester, UK
*Correspondence to rajshreecj@gmail.com

Disclosure: The authors have declared no conflicts of interest.
Received: 27.06.17 Accepted: 28.09.17
Citation: EMJ Dermatol. 2017;5[1]:66-73.


Hidradenitis suppurativa/acne inversa is a debilitating, chronic, relapsing inflammatory condition associated with the development of painful nodules and abscesses progressing to persistently draining sinus tracts. This has a great impact on the psychological aspects of the patient and thus on quality of life. The aetiopathological concepts have vastly evolved with time, as have treatment options. Even with the advancement in management strategies, hidradenitis suppurativa remains a formidable problem for the clinician. A collaborative approach management involving the dermatologist and plastic surgeon is mandatory to achieve the most advantageous outcome. Here, a review of recent literature is presented, including a comparison between various management strategies.

This article is made available under the terms of the Creative Commons Attribution-Non Commercial 4.0 License.

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