Journal of the American Academy of Dermatology ( IF 12.8 ) Pub Date : 2018-01-12 , DOI: 10.1016/j.jaad.2018.01.014 Amit Garg , Morgan Birabaharan , Andrew Strunk
Background
Few studies have evaluated the relationship between hidradenitis suppurativa (HS) and type 2 diabetes mellitus (T2DM), and the existing data show conflicting results.
Objective
To determine the prevalence of T2DM among patients with HS and identify at-risk demographic subgroups.
Methods
Cross-sectional analysis identifying T2DM among patients with and without HS from a demographically heterogeneous population-based sample of more than 50 million patients in the United States.
Results
The overall prevalence of T2DM among patients with HS was 24.8% (10,705 of 43,105) compared with 15.6% (1,993,320 of 12,527,570) among patients without HS. The prevalence was highest among patients with HS who were male (3045 of 10,785 [28.2%]), older (1945 of 3950 [49.2%]), nonwhite (4665 of 17,495 [26.7%]), obese (9065 of 30,855 [29.4%]), tobacco smokers (6880 of 25,005 [27.5%]), hypertensive (8595 of 19,610 [43.8%]), and hyperlipidemic (7965 of 17,190 [46.3%]). In univariable and multivariable analyses, patients with HS had 1.75 (95% confidence interval [CI], 1.71-1.79) and 1.58 (95% CI, 1.54-1.62) times the odds, respectively, of having T2DM. HS was associated with T2DM across all demographic subgroups. The association was stronger for younger patients (an OR of 1.67 and 95% CI of 1.60-1.72 for ages 18-44 years vs an OR of 1.50 and 95% CI of 1.41-1.61 for ages ≥65 years).
Limitations
We lacked information on HS disease severity.
Conclusion
Patients with HS with risk factors, signs, or symptoms of T2DM should be screened.
中文翻译:
美国化脓性汗腺炎患者中2型糖尿病的患病率
背景
很少有研究评估化脓性汗腺炎(HS)与2型糖尿病(T2DM)之间的关系,现有数据显示出矛盾的结果。
客观的
为了确定HS患者中T2DM的患病率,并确定高危人群。
方法
横断面分析从美国超过5000万患者的人口统计学异质人群样本中识别出是否患有HS的患者中的T2DM。
结果
HS患者的T2DM总体患病率为24.8%(43,105人中的10,705),而HS患者中T2DM的整体患病率为15.6%(12,527,570中的1,993,320)。男性HS患者中患病率最高(10,785例中的3045例,占28.2%),老年人(3945例中的1945例,占39.2%[49.2%]),非白人(肥胖患者中的4665例,占17,495例[26.7%]),肥胖患者(9065例,占30,855例[29.4%]) %),吸烟者(占25,005名中的6880名,占25.5%[27.5%]),高血压(占19,610名中的8595名,占[43.8%])和高血脂症(占17190名中的7965名,占[46.3%])。在单变量和多变量分析中,HS患者的T2DM几率分别为1.75(95%置信区间[CI],1.71-1.79)和1.58(95%CI,1.54-1.62)。HS在所有人口统计学子组中均与T2DM相关。对于年轻患者而言,该关联性更强(18-44岁年龄组的OR为1.67,95%CI为1.60-1.72,而OR为1.50和95%CI为1。
局限性
我们缺乏有关HS疾病严重程度的信息。
结论
具有危险因素,体征或T2DM症状的HS患者应进行筛查。