Multidisciplinary Management of Adolescents with Hidradenitis Suppurativa – Series of Cases and Literature Review

• Main Authors: Țarcă E, Cojocaru E, Caba B, Luca AC, Roșu ST, Țarcă V, Stătescu L, Chiriac A, Lupu VV, Moroșan E, Trandafir L
• Format: Article
• Language: English
• Published: Dove Medical Press 2021-08-01
• Series: Journal of Multidisciplinary Healthcare
• Subjects: hidradenitis suppurativa; children; personalized management; multidisciplinary team
• Online Access: https://www.dovepress.com/multidisciplinary-management-of-adolescents-with-hidradenitis-suppurat-peer-reviewed-fulltext-article-JMDH

Elena Țarcă,1,2 Elena Cojocaru,2,3 Bogdan Caba,2,4 Alina Costina Luca,2,5 Solange Tamara Roșu,2,6 Viorel Țarcă,7 Laura Stătescu,8 Anca Chiriac,9 Valeriu Vasile Lupu,2,5 Eugenia Moroșan,2,3 Laura Trandafir2,5 1Department of Surgery II-Pediatric Surgery, “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, 700115, Romania; 2“Saint Mary” Emergency Children’s Hospital, Iași, Romania; 3Department of Morphofunctional Sciences I – Pathology, “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, 700115, Romania; 4Department of Biomedical Sciences, “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, 700115, Romania; 5Department of Mother and Child Medicine–Pediatrics, “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, 700115, Romania; 6Department of Nursing, “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, 700115, Romania; 7County Statistics Department, Iaşi, 700115, Romania; 8Department of Dermatology, “Grigore T. Popa” University of Medicine and Pharmacy, Iaşi, 700115, Romania; 9Department of Dermatophysiology, Apollonia University, Iasi, 700613, RomaniaCorrespondence: Elena Cojocaru; Bogdan Caba“Grigore T. Popa“University of Medicine and Pharmacy, Universității Street No. 16, Iaşi, 700115, RomaniaTel [phone]Fax [phone]Email [e-mail]; [e-mail]: Hidradenitis suppurativa (HS) is a recurrent chronic inflammatory condition of the skin with a debilitating potential, especially in adolescents who may experience psychosocial disorders and impaired quality of life. Recognition of typical, recurrent lesions, history of the disease and family investigation establishes the diagnosis. The rarity of the disease in males and the appearance of this condition in children, which is also rare, in two of our adolescent patients, respectively, are the reasons for publishing this article. We reviewed the literature and found that variation exists across international treatment for this HS, and much collaboration is needed to put forth unified and updated recommendations. It is of major importance that the early recognition of the condition and the establishment of treatment in the multidisciplinary team. Psychotherapy, health education, the adoption of a healthy lifestyle, the application of local prevention measures, and long-term medical treatment are components of a correct management. Extensive surgical treatment should be restricted only to severe cases because it may lead to complications, extend the hospitalization period and increase psychological problems in adolescents. The treatment will be personalized, performed according to the stage of evolution, and the approach will be a multidisciplinary one.Keywords: hidradenitis suppurativa, children, personalized management, multidisciplinary team