Necessary studies on the effect of hidradenitis suppurativa in pregnant women

For the specialist, it is essential to have more data that serves to better serve pregnant women with this condition.

Dr. Olga Pereira, obstetrician-gynecologist. Photo: Introduction to the Journal of Medicine and Public Health.

The hidradenitis (HS) refers to a skin condition in which different specialties such as endocrinology and gynecology can intervene. It generally occurs more in women than in men, between the ages of 20 and 30, and in a ratio of approximately 3:1.

During the symposium “Getting to know hidradenitis‘, The Dr. Olga Pereira, Obstetrician and Gynecologist, stated that studies on hidradenitis and its impact on the health of pregnant women are scarce. In addition, he noted the late diagnosis of this pathology.

“Most of the patients who come to my clinic do not actually have a diagnosis, but we find out during physical examinations,” he emphasized. “A significant portion of Puerto Rican women do not have a primary care physician.also; This helps delay the diagnosis and treatment of these patients.”

In addition, the gynecologist raised a socioeconomic problem that tends to be presented by women with higher levels of severity, namely that some of these people do not have sufficient economic resources to be able to access treatment.

On the other hand, Dr. Pereira suggests a more thorough physical examination of the patients, in order to facilitate and speed up the diagnosis process, if necessary. “As gynecologists, we have to focus more on the physical examinations we do,” he claimed. “We do breast exams and can identify lesions in the armpit; If we do a pelvic examination, we see the inguinal region and the vulva, where we can distinguish other lesions related to this disease.”

Therapeutic alternatives for pregnancy and lactation

It is no secret to anyone that during pregnancy additional care is required so as not to affect the normal course of pregnancy. For this reason, and although according to the expert there is not enough information about how this disease affects pregnancy, it is known that this percentage of the population finds more limitations in terms of treatments.

This is because they cannot use many of the treatments that are performed in other patients.Or simply don’t want to use treatments that might lead to significant side effects. However, there is still room for treatment with topical antibiotics.”

Likewise, women who underwent treatment before pregnancy should undergo a risk-benefit assessment, to see if it is possible to continue with the said treatment so that it does not affect their health, the health of the child, the birth and / or the lactation process.

My message to doctors is to make a better diagnosis. For patients, it’s about exposing anxiety to a gynecologist, because he’s probably the only doctor you see in terms of routine. This would give us less information about the disease, and we could refer more patients to dermatologists if a diagnosis is suspected, and thus start treatment early.”