Hidradenitis Suppurativa Is Associated with Severe Sexual Impairment.

Autor:	Krajewski PK; Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland., Strobel A; Institute of Medical Epidemiology, Biostatistics, and Informatics, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle/, Saale, Germany.; Profile Centre of Health Sciences Halle, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle/, Saale, Germany., Schultheis M; Department of Dermatology, University Medical Center, Johannes Gutenberg, University, Mainz, Germany., Staubach P; Department of Dermatology, University Medical Center, Johannes Gutenberg, University, Mainz, Germany., Grabbe S; Department of Dermatology, University Medical Center, Johannes Gutenberg, University, Mainz, Germany., Hennig K; Department of Dermatology, University Medical Center, Johannes Gutenberg, University, Mainz, Germany., Matusiak L; Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland., von Stebut E; Department of Dermatology, Faculty of Medicine, University of Cologne, Cologne, Germany., Garcovich S; Dermatology Outpatient Office Dr. Simone Garcovich, Rome, Italy., Bayer H; Dermatology Outpatient Office Hautmedizin Bad Soden, Bad Soden, Germany., Heise M; Profile Centre of Health Sciences Halle, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle/, Saale, Germany.; Institute for Health- and Nursing Science, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle/, Saale, Germany.; Institute of General Practice and Family Medicine, Faculty of Medicine, Martin-Luther-University Halle-Wittenberg, Halle/, Saale, Germany., Kirschner U; Dermatology Outpatient Office Dr. Uwe Kirschner, Mainz, Germany., Nikolakis G; Departments of Dermatology, Venereology, Allergology and Immunology, Dessau Medical Center, Brandenburg Medical School Theodor Fontane and Faculty of Health Sciences Brandenburg, Dessau, Germany., Szepietowski JC; Department of Dermatology, Venereology and Allergology, Wroclaw Medical University, Wroclaw, Poland.
Jazyk:	angličtina
Zdroj:	Dermatology (Basel, Switzerland) [Dermatology] 2024; Vol. 240 (2), pp. 205-215. Date of Electronic Publication: 2024 Jan 08.
DOI:	10.1159/000536128
Abstrakt:	Introduction: Hidradenitis suppurativa (HS) is a chronic inflammatory disorder of the pilosebaceous unit, often affecting and deforming intimate regions. HS is associated with severe pain, pruritus, and constant, purulent, malodorous discharge expected to impair sexual health of patients. Methods: We performed a cross-sectional, multicentric study involving 199 German patients from the health services research project "Epidemiology and Care in Acne inversa (EpiCAi)." The sexual health, HS severity, and quality of life of the studied group were evaluated using a specially designed questionnaire. Results: Regardless of gender, HS has an enormous impact on patients' sexual health. The patients scored, on average, 28.8 ± 5.3 points on the Relation and Sexuality Scale (RSS). Multiple linear regression revealed that females and patients with Hurley III stage had higher sexual dysfunction (p = 0.012). Sexual dysfunction is associated with pain (β = 0.25), the number of active lesions, the affected areas (β = 0.14), and psychosocial aspects, including low quality of life (β = 0.404), stigmatization (β = 0.411), depression (β = 0.413), and anxiety (β = 0.300). Patients already see a substantial decrease in sexual frequency in the early stages of HS, while functional impairment and fear increase with the severity of the disease. Conclusion: Sexual health and management of its dysfunctions should be part of a holistic approach to HS patients. (© 2024 S. Karger AG, Basel.)
Databáze:	MEDLINE
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