Clinical Report: Exploring Addictive Behaviors in Patients with Hidradenitis Suppurativa

Overview

This pilot study reveals a high prevalence of addictions among patients with hidradenitis suppurativa (HS), independent of disease severity. The findings underscore the need for integrated care addressing both HS and associated addictive behaviors.

Background

Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that significantly impacts patients' quality of life. Patients with HS often experience mental distress and social exclusion, which can lead to the development of addictive disorders. Understanding the prevalence of these addictions is crucial for improving patient care and outcomes.

Data Highlights

No numerical data provided in the article.

Key Findings

• Patients with HS exhibit a high prevalence of the seven most common addictions.
• Many patients present with two or more addictions.
• The presence of addictions is independent of the severity of HS.
• Comprehensive care for HS must include assessment and management of addiction as a comorbidity.
• Psychological distress, chronic pain, and social exclusion are significant factors contributing to addiction in HS patients.

Clinical Implications

Healthcare providers should incorporate screening for addictive behaviors in patients with HS as part of routine care. Early intervention and a multidisciplinary approach are essential for managing both HS and associated addictions effectively.

Conclusion

The study highlights the critical need for awareness and integrated management of addictive behaviors in patients with hidradenitis suppurativa, emphasizing the importance of addressing both physical and psychological health.

References

1. Elevated Incidence of Hidradenitis Suppurativa Among Individuals with Perianal Fistulas, 2019 -- https://link.springer.com/article/10.1007/s00384-019-03313-2
2. Skin Conditions in Hospitalized Patients with Substance Use Disorders: A Comparative Analysis of Alcohol and Drug Users, 2025 -- https://link.springer.com/article/10.1186/s12888-025-07698-z
3. Altered Neural Function and Connectivity in the Hippocampus of Adolescents Engaging in Non-Suicidal Self-Injury, 2025 -- https://link.springer.com/article/10.1186/s12888-025-07331-z
4. S2k guideline for the treatment of hidradenitis suppurativa / acne inversa - Short version, 2023 -- https://pubmed.ncbi.nlm.nih.gov/38770982/?utm_source=openai
5. Elevated Incidence of Hidradenitis Suppurativa Among Individuals with Perianal Fistulas
6. BMC Psychiatry (Springer) — Skin Conditions in Hospitalized Patients with Substance Use Disorders: A Comparative Analysis of Alcohol and Drug Users
7. BMC Psychiatry (Springer) — Altered Neural Function and Connectivity in the Hippocampus of Adolescents Engaging in Non-Suicidal Self-Injury
8. Open Forum Infectious Diseases — Prevalence and Contributing Factors of Cutaneous Abscesses in Injection Drug Users in Denver, Colorado
9. S2k guideline for the treatment of hidradenitis suppurativa / acne inversa - Short version - PubMed
10. https://academic.oup.com/bjd/advance-article-abstract/doi/10.1093/bjd/ljaf151/8116457