Study of metabolic syndrome prevalence in pacients with suppurative hidradenitis

A retrospective study of the last 2 years in Hospital Alejandro Posadas

Abstract

Background: Suppurative hidradenitis (SH) is a chronic, inflammatory
disease, closely related to metabolic syndrome (MS), with an increased
risk of cardiovascular comorbidities; for that reason we should keep a
high level of clinical suspicion when one of its components is found.
Objective: To evaluate MS prevalence in patients with diagnosis of SH in
comparison with general population.
Design: Descriptive retrospective study.
Methods: We reviewed clinical and photographical files of patients with
diagnosis of suppurative hidradenitis who consulted from 1/9/2017
until 31/8/2019. Variables analyzed were: sex, age, familial history,
time of evolution, body mass index, abdominal obesity, glycemia, lipid
profile, blood pressure, smoking, number and location of lesions, clinicalechographic severity, response to treatment and clinical evolution.
Results: Thirty patients with SH were evaluated, 23 females and 7
males. The age group between 31-40 years prevailed; of these, 19
patients (63.3%) meet necessary criteria for diagnosis of MS, this
finding did not correlate to the severity degree of SH.
Conclusions: The MS prevalence in our SH patients was 63.3%, compared
to 27.5% in the general population. The importance of this finding lays on
detecting in an early and opportune way, the presence of MS in patients
with SH, and to avoid the risk of future cardiovascular comorbidities.