Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment Evolution

Hidradenitis suppurativa (HS), or acne inversa, is a chronic inflammatory dermatological condition characterized by painful and recurrent nodules and purulent abscesses. HS can have a devastating impact on the quality of life of patients. This condition is commonly localized to the axilla, groin, pe...

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Main Authors: Faith D. Huynh, Giovanni Damiani, Christopher G. Bunick
Format: Article
Language:English
Published: MDPI AG 2024-03-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/13/3/268
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author Faith D. Huynh
Giovanni Damiani
Christopher G. Bunick
author_facet Faith D. Huynh
Giovanni Damiani
Christopher G. Bunick
author_sort Faith D. Huynh
collection DOAJ
description Hidradenitis suppurativa (HS), or acne inversa, is a chronic inflammatory dermatological condition characterized by painful and recurrent nodules and purulent abscesses. HS can have a devastating impact on the quality of life of patients. This condition is commonly localized to the axilla, groin, perineal, and inframammary regions, and can develop fistulas and sinus tracts over time. Its pathogenesis remains elusive and is best characterized at the moment as multi-factorial. Additionally, questions remain about the role of cutaneous dysbiosis as a primary HS trigger or as a secondary perturbation due to HS inflammation. This article features works in relation to HS and its interplay with bacterial microflora. We address current treatment approaches and their impact on HS-related bacteria, as well as areas of therapeutic innovation. In the future, disease-modifying or remittive therapy will likely combine an advanced/targeted anti-inflammatory approach with one that effectively modulates cutaneous and deep tissue dysbiosis.
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spelling doaj.art-88fca98ace764e1f8b51d213eb5828262024-03-27T13:18:14ZengMDPI AGAntibiotics2079-63822024-03-0113326810.3390/antibiotics13030268Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment EvolutionFaith D. Huynh0Giovanni Damiani1Christopher G. Bunick2Yale School of Medicine, New Haven, CT 06510, USADepartment of Biomedical, Surgical and Dental Sciences, University of Milan, 20122 Milan, ItalyDepartment of Dermatology and Program in Translational Biomedicine, Yale School of Medicine, New Haven, CT 06520, USAHidradenitis suppurativa (HS), or acne inversa, is a chronic inflammatory dermatological condition characterized by painful and recurrent nodules and purulent abscesses. HS can have a devastating impact on the quality of life of patients. This condition is commonly localized to the axilla, groin, perineal, and inframammary regions, and can develop fistulas and sinus tracts over time. Its pathogenesis remains elusive and is best characterized at the moment as multi-factorial. Additionally, questions remain about the role of cutaneous dysbiosis as a primary HS trigger or as a secondary perturbation due to HS inflammation. This article features works in relation to HS and its interplay with bacterial microflora. We address current treatment approaches and their impact on HS-related bacteria, as well as areas of therapeutic innovation. In the future, disease-modifying or remittive therapy will likely combine an advanced/targeted anti-inflammatory approach with one that effectively modulates cutaneous and deep tissue dysbiosis.https://www.mdpi.com/2079-6382/13/3/268acne inversabiofilm formationanaerobesantibioticsbacteriaresistance
spellingShingle Faith D. Huynh
Giovanni Damiani
Christopher G. Bunick
Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment Evolution
Antibiotics
acne inversa
biofilm formation
anaerobes
antibiotics
bacteria
resistance
title Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment Evolution
title_full Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment Evolution
title_fullStr Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment Evolution
title_full_unstemmed Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment Evolution
title_short Rethinking Hidradenitis Suppurativa Management: Insights into Bacterial Interactions and Treatment Evolution
title_sort rethinking hidradenitis suppurativa management insights into bacterial interactions and treatment evolution
topic acne inversa
biofilm formation
anaerobes
antibiotics
bacteria
resistance
url https://www.mdpi.com/2079-6382/13/3/268
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