While genetic predisposition and immune dysregulation are recognized as key contributors to the development of hidradenitis suppurativa, accumulating research points to the influence of extrinsic factors in the pathogenesis of this condition. This review explores the roles of mechanical stress, altered skin and gut microbiome, tobacco smoking, diet, and paradoxical drug reactions as drivers of hidradenitis suppurativa onset and progression. A holistic management approach addressing these factors may be encouraged to improve disease outcomes. Further research is needed to fully determine the causal role of these extrinsic factors and their impact on treatment strategies. ( J Am Acad Dermatol 2024;91:S17-21.)
机构:
Toronto Gen Hosp, Toronto, ON, CanadaMcGill Univ, Montreal, PQ, Canada
Wang, Shirley C.
Sibbald, R. Gary
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机构:
Univ Toronto, Publ Hlth & Med, Toronto, ON, Canada
Univ Toronto, Dalla Lana Sch Publ Hlth, Int Interprofess Wound Care Course, Toronto, ON, Canada
Univ Toronto, Dalla Lana Sch Publ Hlth, Sci Community Hlth Prevent & Wound Care, Toronto, ON, Canada
World Union Wound Healing Soc, Florence, ItalyMcGill Univ, Montreal, PQ, Canada
机构:
Massachusetts Gen Hosp, Dept Dermatol, Clin Unit Res Trials & Outcomes Skin CURTIS, Boston, MA 02114 USAMassachusetts Gen Hosp, Dept Dermatol, Clin Unit Res Trials & Outcomes Skin CURTIS, Boston, MA 02114 USA
Porter, Martina L.
Kimball, Alexa B.
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机构:
Harvard Med Sch, Dept Dermatol, Boston, MA 02115 USA
Beth Israel Deaconess Med Ctr, Harvard Med Fac Phys, Boston, MA 02215 USAMassachusetts Gen Hosp, Dept Dermatol, Clin Unit Res Trials & Outcomes Skin CURTIS, Boston, MA 02114 USA