Dietary patterns, metabolic pathways and metainflammation in hidradenitis suppurativa: a systematic review - Scorecard - MDSpire

Dietary patterns, metabolic pathways and metainflammation in hidradenitis suppurativa: a systematic review

  • By

  • Ezgi Celik

  • Falk G. Bechara

  • Eggert Stockfleth

  • Lennart Ocker-Serger

  • Nessr Abu Rached

  • May 18, 2026

  • 0 min

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Clinical Scorecard: Nutritional Habits, Metabolic Mechanisms, and Chronic Inflammation in Hidradenitis Suppurativa: A Comprehensive Review

At a Glance

CategoryDetail
Condition
Key Mechanisms
Target PopulationIndividuals with Hidradenitis Suppurativa, particularly those with obesity, metabolic syndrome, and related comorbidities.
Care Setting

Key Highlights

  • HS is characterized by chronic inflammation and is linked to metabolic comorbidities.
  • Dietary patterns, particularly Mediterranean and low-glycaemic diets, may influence HS severity.
  • Micronutrient deficiencies, especially in vitamin D and zinc, are associated with greater disease severity.
  • Interventional studies are limited but suggest potential benefits from dietary modifications.
  • Obesity and systemic inflammation are significant contributors to HS disease activity.
  • Further controlled studies are needed to establish causality between diet and HS.

Guideline-Based Recommendations

Diagnosis

    Management

    • Individualized treatment strategies including topical therapies, systemic antibiotics, hormonal agents, retinoids, biologics, and surgery.
    • Consider dietary interventions as adjunctive therapy in HS management.

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Promoting anti-inflammatory dietary patterns and optimizing micronutrient intake may support standard HS therapies, particularly in patients with obesity and metabolic syndrome.

        Clinical Best Practices

        • Encourage adherence to anti-inflammatory dietary patterns.
        • Monitor and address micronutrient deficiencies in HS patients.
        • Consider dietary interventions as adjunctive therapy in HS management.
        • Regularly assess dietary habits and nutritional status as part of comprehensive HS management.

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        Original Source(s)

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