Challenging outdated dogma: management of hidradenitis suppurativa symptoms and inflammatory burden should precede obesity advice

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ID: 326630
2026
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Abstract
The association between hidradenitis suppurativa (HS) and obesity is widely recognized, and as a result, patients are often counseled to lose weight. Herein, patients with HS shed light on their experiences with weight management, shaped by limited activity due to painful lesions and a profound psychosocial impact. By framing HS as a complex biological disease with a suspected bidirectional relationship with obesity, this article highlights the importance of achieving inflammatory control and identifying actionable opportunities to improve weight management and counseling for patients with HS.
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Authors Faith C. Simmonds, Jaylene Delgado, Jasmine Espy, Mary Casagrande, Ravi Ramessur, John R Ingram, L. Petukhova
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Journal the british journal of dermatology
Year 2026
DOI
10.1093/bjd/ljag344
URL
https://doi.org/10.1093/bjd/ljag344
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