University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository




Dr. Thomas Colletti DHSc, MPAS, PA-C



Purpose: The purpose of this article is to elevate the understanding of the negative impact of hidradenitis suppurativa (HS) on patients and the importance of early recognition, diagnosis, and treatment.

Method: A literature search using the PubMed database was conducted with search terms hidradenitis suppurativa, delayed diagnosis, comorbidities, and negative impact. The results presented twenty-one articles, all of which were published within the past five years and are the basis for this clinical review article.

Results: The results of this search support the overwhelming evidence of the negative sequelae of HS as well as the critical importance of early recognition.

Conclusion: Delaying the diagnosis of HS will delay the start of treatment. The greater the delay in treatment will lead to an overall worse long-term prognosis. Overwhelming evidence in literature supports the extensive impact on patients physically, financially, and emotionally. Continued education surrounding this disease and ongoing research on the underlying pathophysiology and effective therapeutic options is paramount to improving the long-term outcome of patients with this debilitating chronic inflammatory disease.

Keywords: Hidradenitis Suppurativa, Delayed Diagnosis, Comorbidities, Negative Impact

Learning Objectives:

1. Review the statistics on the delay of diagnosis of HS and how this may contribute to the overall negative impact of this disease.

1. To provide deeper understanding of the overall emotional burden leading to social isolation, lack of self-confidence, depression and even suicide.

1. Provide statistics on the negative financial impact of hidradenitis suppurativa due to work loss, extensive healthcare costs, and the impact on lifelong career path.

1. To improve patient care with early recognition, treatment, and education for patients with hidradenitis suppurativa.


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