North American clinical practice guidelines for the medical management of hidradenitis suppurativa in special patient populations.

Alhusayen, Raed; Dienes, Serena; Lam, Megan; Alavi, Afsaneh; Alikhan, Ali; Aleshin, Maria; Bahashwan, Emad; Daveluy, Steve et al. · J Am Acad Dermatol · 2025

expert_opinion · Level V

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Abstract

Hidradenitis suppurativa (HS) affects different patient populations that require unique considerations in their management. However, no HS guidelines for these populations exist. To provide evidence-based consensus recommendations for patients with HS in 7 special patient populations: (i) pregnancy, (ii) breastfeeding, (iii) pediatrics, (iv) malignancy, (v) tuberculosis infection, (vi) hepatitis B or C infection, and (vii) HIV disease. Recommendations were developed using the Grading of Recommendations Assessment, Development, and Evaluation system to ascertain level of evidence and selected through a modified Delphi consensus process. One hundred eighteen expert consensus statements are provided for the management of patients with HS across these 7 special patient populations.

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