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2022, Number 1

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Dermatología Cosmética, Médica y Quirúrgica 2022; 20 (1)

Concordance degree between the Hurley clinical scale and the sos-hs ultrasonographic scale in patients with hidradenitis suppurativa

Sánchez CCD, Quintal RMS, González AAA, Godínez A

Language: Spanish
References: 22
Page: 8-11
PDF size: 279.61 Kb.


ABSTRACT

Background: hidradenitis suppurativa (HS) affects follicles and apocrine glands. The measurement of the clinical severity of HS has limitations. Ultrasound has been approved for use in the diagnosis and severity of hs with the sonographic HS scale (SOS-HS).
Objective: to assess the concordance between the Hurley clinical severity scale and the SOS-HS ultrasonographic scale in patients with hs.
Material and methods: comparative and cross-sectional study in patients from the hs Clinic of the Dermatology Department of the La Raza National Medical Center of the IMSS, in Mexico City, in 2019. 34 patients were included. They were subjected to a dermatological evaluation for the application of the Hurley scale. Ultrasonography was then performed by a radiologist with experience in skin ultrasound. The Kappa statistic was used and contrasted with the null hypothesis test of agreement between these scales. The study was approved by the ethics and research committee of the La Raza National Medical Center.
Results: 34 patients with hs were included, 65% were women, with a median age of 39.5 years. The concordance between the Hurley scale and the sos-hs ultrasound scan showed a κ = 0.34 (p = 0.001). 41.2% of the cases changed to a stage of greater severity with the SOS-HS scale.
Conclusion: the ultrasound study in the evaluation of the severity of hs is more precise than the Hurley clinical scale, which may allow establishing a better treatment.


REFERENCES

  1. Wortsman X, Imaging of hidradenitis suppurativa, Dermatol Clin 2016; 34(1):59-68. doi: 10.1016/j.det.2015.08.003.

  2. Nguyen TV, Damiani G, Orenstein LAV, Hamzavi I y Jemec GB, Hidradenitis suppurativa: an update on epidemiology, phenotypes, diagnosis, pathogenesis, comorbidities and quality of life, J Eur Acad Dermatology Venereol 2021; 35(1):50-61. doi: 10.1111/jdv.16677.

  3. Wortsman X, Castro A y Figueroa A, Color Doppler ultrasound assessment of morphology and types of fistulous tracts in hidradenitis suppurativa (hs), J Am Acad Dermatol 2016; 75(4):760-7. doi: 10.1016/j. jaad.2016.05.009.

  4. Wortsman X, Rodríguez C, Lobos C, Eguiguren G y Molina MT, Ultrasound diagnosis and staging in pediatric hidradenitis suppurativa, Pediatr Dermatol 2016; 33(4):e260-4. doi: 10.1111/pde.12895.

  5. Nikolakis G, Kaleta KP, Vaiopoulos AG, Wolter K, Baroud S, Wojas- Pelc A et al., Phenotypes and pathophysiology of syndromic hidradenitis suppurativa: different faces of the same disease? A systematic review, Dermatology 2020; 1-25. doi: 10.1159/000509873.

  6. Martorell A y Segura Palacios JM, Ecografía de la hidradenitis supurativa. Actas Dermosifiliogr 2015; 106:49-59. doi: 10.1016/S0001- 7310(16)30007-2.

  7. Kelekis NL, Efstathopoulos E, Balanika A, Spyridopoulos TN, Pelekanou A, Kanni T et al., Ultrasound aids in diagnosis and severity assessment of hidradenitis suppurativa, Br J Dermatol 2010; 162(6):1400-2. doi: 10.1111/j.1365-2133.2010.09710.x.

  8. García-Martínez FJ, Pascual JC, López-Martín I, Pereyra-Rodríguez JJ, Martorell Calatayud A, Salgado-Boquete L et al., Update of hidradenitis suppurativa in primary care, Semergen 2017; 43(1):34-42. doi: 10.1016/j.semerg.2015.12.005.

  9. Martorell A, García-Martínez FJ, Jiménez-Gallo D, Pascual JC, Pereyra- Rodríguez J, Salgado L et al., Actualización en hidradenitis supurativa (i): epidemiología, aspectos clínicos y definición de severidad de la enfermedad, Actas Dermosifiliogr 2015; 106(9):703-15. doi: 10.1016/j. ad.2015.06.004.

  10. Wortsman X y Jemec GBE, Real-time compound imaging ultrasound of hidradenitis suppurativa, Dermatologic Surg 2007; 33(11):1340-2. doi: 10.1111/j.1524-4725.2007.33286.x

  11. Loo CH, Tan WC, Tang JJ, Khor YH, Manikam MT, Low DE et al., The clinical, biochemical, and ultrasonographic characteristics of patients with hidradenitis suppurativa in Northern Peninsular Malaysia: a multicenter study, Int J Dermatol 2018; 57(12):1454-63. doi: 10.1111/ijd.14210.

  12. Wortsman X, Imaging of hidradenitis suppurativa, Dermatol Clin 2016; 34(1):59-68. doi: 10.1016/j.det.2015.08.003.

  13. Nguyen TV, Damiani G, Orenstein LAV, Hamzavi I y Jemec GB, Hidradenitis suppurativa: an update on epidemiology, phenotypes, diagnosis, pathogenesis, comorbidities and quality of life, J Eur Acad Dermatology Venereol 2021; 35(1):50-61. doi: 10.1111/jdv.16677.

  14. Wortsman X, Castro A y Figueroa A, Color Doppler ultrasound assessment of morphology and types of fistulous tracts in hidradenitis suppurativa (hs), J Am Acad Dermatol 2016; 75(4):760-7. doi: 10.1016/j. jaad.2016.05.009.

  15. Wortsman X, Rodríguez C, Lobos C, Eguiguren G y Molina MT, Ultrasound diagnosis and staging in pediatric hidradenitis suppurativa, Pediatr Dermatol 2016; 33(4):e260-4. doi: 10.1111/pde.12895.

  16. Nikolakis G, Kaleta KP, Vaiopoulos AG, Wolter K, Baroud S, Wojas- Pelc A et al., Phenotypes and pathophysiology of syndromic hidradenitis suppurativa: different faces of the same disease? A systematic review, Dermatology 2020; 1-25. doi: 10.1159/000509873.

  17. Martorell A y Segura Palacios JM, Ecografía de la hidradenitis supurativa. Actas Dermosifiliogr 2015; 106:49-59. doi: 10.1016/S0001- 7310(16)30007-2.

  18. Kelekis NL, Efstathopoulos E, Balanika A, Spyridopoulos TN, Pelekanou A, Kanni T et al., Ultrasound aids in diagnosis and severity assessment of hidradenitis suppurativa, Br J Dermatol 2010; 162(6):1400-2. doi: 10.1111/j.1365-2133.2010.09710.x.

  19. García-Martínez FJ, Pascual JC, López-Martín I, Pereyra-Rodríguez JJ, Martorell Calatayud A, Salgado-Boquete L et al., Update of hidradenitis suppurativa in primary care, Semergen 2017; 43(1):34-42. doi: 10.1016/j.semerg.2015.12.005.

  20. Martorell A, García-Martínez FJ, Jiménez-Gallo D, Pascual JC, Pereyra- Rodríguez J, Salgado L et al., Actualización en hidradenitis supurativa (i): epidemiología, aspectos clínicos y definición de severidad de la enfermedad, Actas Dermosifiliogr 2015; 106(9):703-15. doi: 10.1016/j. ad.2015.06.004.

  21. Wortsman X y Jemec GBE, Real-time compound imaging ultrasound of hidradenitis suppurativa, Dermatologic Surg 2007; 33(11):1340-2. doi: 10.1111/j.1524-4725.2007.33286.x

  22. Loo CH, Tan WC, Tang JJ, Khor YH, Manikam MT, Low DE et al., The clinical, biochemical, and ultrasonographic characteristics of patients with hidradenitis suppurativa in Northern Peninsular Malaysia: a multicenter study, Int J Dermatol 2018; 57(12):1454-63. doi: 10.1111/ijd.14210.




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