Earwax of patients with hidradenitis suppurativa: A retrospective study
Background In Western nations, hidradenitis suppurativa (HS) typically affects the apocrine gland-bearing skin of people of African origin, women, smokers, and individuals with obesity. The clinical characteristics of HS in Korea and Japan, however, are reportedly different from those in the West....
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2019-11-01
|
| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00290 |
| _version_ | 1828138155540217856 |
|---|---|
| author | Yuka Shibuya Daichi Morioka Misako Nomura Zhuo Zhang Hiroki Utsunomiya |
| author_facet | Yuka Shibuya Daichi Morioka Misako Nomura Zhuo Zhang Hiroki Utsunomiya |
| author_sort | Yuka Shibuya |
| collection | DOAJ |
| description | Background In Western nations, hidradenitis suppurativa (HS) typically affects the apocrine gland-bearing skin of people of African origin, women, smokers, and individuals with obesity. The clinical characteristics of HS in Korea and Japan, however, are reportedly different from those in the West. We therefore hypothesized that wet earwax is associated with HS because most East Asian people are genetically predisposed to produce dry earwax.
Methods The medical charts of 53 Japanese patients with HS were reviewed retrospectively.
Results Unlike the results of surveys conducted in Western nations, most of our patients were men (72%), whose buttocks were the most commonly affected site. Apocrine gland-bearing areas, such as the axilla, were affected less often. The proportion of HS patients with wet earwax was 51%, which was substantially higher than that found in the general Japanese population. Moreover, when patients with gluteal HS were excluded, the proportion of patients with wet earwax became even higher (68%).
Conclusions Although the etiology of HS is unknown, our survey indicated that HS in apocrine gland-bearing skin, such as the axillary and anogenital areas, may be associated with wet earwax. As this study was conducted in a limited clinical setting, a nationwide, multicenter survey is warranted to clarify the clinical characteristics of HS in Japan. |
| first_indexed | 2024-04-11T18:31:35Z |
| format | Article |
| id | doaj.art-008ede7fc81b4c5fa693a1f9852f6434 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-11T18:31:35Z |
| publishDate | 2019-11-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-008ede7fc81b4c5fa693a1f9852f64342022-12-22T04:09:25ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712019-11-01460656657110.5999/aps.2019.002903684Earwax of patients with hidradenitis suppurativa: A retrospective studyYuka Shibuya0Daichi Morioka1Misako Nomura2Zhuo Zhang3Hiroki Utsunomiya4Department of Plastic Surgery, Showa University, Tokyo, JapanDepartment of Plastic Surgery, Showa University, Tokyo, JapanDepartment of Plastic Surgery, Showa University, Tokyo, JapanDepartment of Plastic Surgery, Showa University, Tokyo, JapanDepartment of Plastic Surgery, Showa University, Tokyo, JapanBackground In Western nations, hidradenitis suppurativa (HS) typically affects the apocrine gland-bearing skin of people of African origin, women, smokers, and individuals with obesity. The clinical characteristics of HS in Korea and Japan, however, are reportedly different from those in the West. We therefore hypothesized that wet earwax is associated with HS because most East Asian people are genetically predisposed to produce dry earwax. Methods The medical charts of 53 Japanese patients with HS were reviewed retrospectively. Results Unlike the results of surveys conducted in Western nations, most of our patients were men (72%), whose buttocks were the most commonly affected site. Apocrine gland-bearing areas, such as the axilla, were affected less often. The proportion of HS patients with wet earwax was 51%, which was substantially higher than that found in the general Japanese population. Moreover, when patients with gluteal HS were excluded, the proportion of patients with wet earwax became even higher (68%). Conclusions Although the etiology of HS is unknown, our survey indicated that HS in apocrine gland-bearing skin, such as the axillary and anogenital areas, may be associated with wet earwax. As this study was conducted in a limited clinical setting, a nationwide, multicenter survey is warranted to clarify the clinical characteristics of HS in Japan.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00290apocrine glandcerumenhidradenitis suppurativamedical chart reviewrace factors |
| spellingShingle | Yuka Shibuya Daichi Morioka Misako Nomura Zhuo Zhang Hiroki Utsunomiya Earwax of patients with hidradenitis suppurativa: A retrospective study Archives of Plastic Surgery apocrine gland cerumen hidradenitis suppurativa medical chart review race factors |
| title | Earwax of patients with hidradenitis suppurativa: A retrospective study |
| title_full | Earwax of patients with hidradenitis suppurativa: A retrospective study |
| title_fullStr | Earwax of patients with hidradenitis suppurativa: A retrospective study |
| title_full_unstemmed | Earwax of patients with hidradenitis suppurativa: A retrospective study |
| title_short | Earwax of patients with hidradenitis suppurativa: A retrospective study |
| title_sort | earwax of patients with hidradenitis suppurativa a retrospective study |
| topic | apocrine gland cerumen hidradenitis suppurativa medical chart review race factors |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2019.00290 |
| work_keys_str_mv | AT yukashibuya earwaxofpatientswithhidradenitissuppurativaaretrospectivestudy AT daichimorioka earwaxofpatientswithhidradenitissuppurativaaretrospectivestudy AT misakonomura earwaxofpatientswithhidradenitissuppurativaaretrospectivestudy AT zhuozhang earwaxofpatientswithhidradenitissuppurativaaretrospectivestudy AT hirokiutsunomiya earwaxofpatientswithhidradenitissuppurativaaretrospectivestudy |