Background

Hidradenitis suppurativa (HS) is associated with various somatic and psychiatric comorbidities. Data regarding comorbidities in young patients with HS are sparse.

Objective

We analyzed both somatic and psychiatric comorbidities in young patients in a nationwide HS cohort.

Methods

In this retrospective case-control study, data from cases of HS in young (age 5 to <18 years) patients and age-matched controls with benign melanocytic nevi were collected from the Finnish Care Register for Health Care. The prevalence of preselected comorbidities was compared between the HS and control groups.

Results

A total of 153 HS cases were found in the specified age group. Of these, 34.0% had at least 1 somatic comorbidity compared with 4.9% of the controls. At least 1 of the preselected psychiatric diagnoses was present before the age of 18 years in 15.7% of case patients with HS compared with in 5.6% of the controls. By the age of 23 years, 23.5% of the patients with HS and 8.7% of the controls had at least 1 identified psychiatric comorbidity.

Limitations

Despite this being one of the largest HS cohorts ever studied, the number of young patients with HS was relatively low. Because this was a registry-based study, it was not possible to verify the accuracy of the International Classification of Diseases codes.

Conclusion

Physicians should monitor young patients with HS for both somatic and psychiatric comorbidities.

中文翻译：

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儿童和青少年化脓性汗腺炎的躯体和精神病合并症

背景

化脓性汗腺炎（HS）与各种躯体和精神病合并症相关。关于年轻HS患者合并症的数据很少。

客观的

我们分析了全国性HS队列中年轻患者的躯体和精神病合并症。

方法

在这项回顾性病例对照研究中，从芬兰医疗保健登记册收集了年轻（5至<18岁）患者和年龄相匹配的良性黑素细胞痣对照患者的HS数据。比较了HS组和对照组的预选合并症患病率。

结果

在指定年龄段共发现153例HS病例。其中，34.0％的人患有至少1种躯体合并症，而对照组为4.9％。15.7％的HS病例患者中至少有1种预选的精神病学诊断在18岁之前出现，而对照组为5.6％。到23岁时，有23.5％的HS患者和8.7％的对照患者至少有1例确诊为精神病合并症。

局限性

尽管这是有史以来最大的HS队列研究之一，但年轻的HS患者相对较少。因为这是基于注册表的研究，所以无法验证国际疾病分类代码的准确性。

结论

医师应监测年轻的HS患者的躯体和精神病合并症。