Connection between Smoking and Hidradenitis Suppurativa Examination: Any Relationship?
Smoking and Hidradenitis Suppurativa: A Detrimental Connection
Hidradenitis suppurativa (HS) is a long-term, non-contagious skin condition that affects the hair follicles in areas where a person's skin touches. Recent studies have highlighted a significant negative impact of smoking on HS, contributing to more severe and persistent symptoms over the long term.
The Impact of Smoking on HS
Smoking has been associated with a range of adverse effects on HS. According to several studies, smoking may increase the severity of HS symptoms, making the condition more difficult to control [1]. Smokers with HS have a lower chance of experiencing remission or symptom relief [1].
In addition, smoking contributes to systemic inflammation and comorbidities associated with HS. This inflammation, exacerbated by smoking, not only worsens skin symptoms but also increases the risk of cardiovascular diseases and metabolic conditions such as obesity, diabetes, and hypertension [3][5].
Smoking is also a significant aggravating factor for cardiovascular events in individuals with HS, increasing the risk of heart attack and stroke [3]. Furthermore, smoking may interact with insulin resistance and diabetes, increasing the risk of both conditions [5].
Quitting Smoking: A Crucial Step for Improved Outcomes
Quitting smoking has been linked to better control of HS symptoms and improved overall outcomes, suggesting cessation as a critical part of managing the disease [1]. People who quit smoking may experience a reduction in the severity of their HS symptoms and an increased likelihood of remission.
Treatment for Hidradenitis Suppurativa
Treatment for HS can help decrease the amount of skin lesions and prevent the disease from worsening. Antibiotics may be recommended to help treat symptoms by killing bacteria. Corticosteroids can be administered as steroid injections into HS lesions to help decrease inflammation. Surgery and other procedures, such as draining an HS abscess or removing a lesion, may also be part of treatment.
It's essential for individuals with HS to have regular monitoring by their dermatologist to look for signs of skin cancer, as they have an increased risk of developing squamous cell carcinoma. Pain relief medications may be taken if HS sores cause pain or discomfort.
Seeking Help and Further Information
If you suspect you may have HS or another skin condition, it's crucial to speak with a healthcare professional to receive an accurate diagnosis as soon as possible. Dermatology resources are available for more information on HS.
Multiple studies suggest that smoking increases the number of body parts affected by HS skin lesions [2]. Researchers have also identified nicotine as a factor that may promote the growth of the bacteria Staphylococcus aureus in intertriginous areas, influence inflammation, and thicken certain outer skin layers.
In conclusion, smoking exacerbates the severity and chronicity of HS, worsens systemic inflammation, increases associated cardiovascular and metabolic risks, and reduces chances of remission. Quitting smoking may improve symptom control and long-term health outcomes in HS patients. If you are a smoker with HS, speaking with your healthcare professional about quitting smoking and treatment options is crucial for managing your condition effectively.
[1] 2016 study on the impact of smoking on hidradenitis suppurativa outcomes [2] 2018 study on the link between smoking and the number of body parts affected by hidradenitis suppurativa [3] 2018 study on the association between hidradenitis suppurativa and cardiovascular risk [4] 2019 literature review on the link between smoking and hidradenitis suppurativa [5] 2021 meta-analysis on the association between smoking, hidradenitis suppurativa, and comorbidities
Smoking has been found to increase the number of body parts affected by HS skin lesions, as supported by a 2018 study [2]. Moreover, smoking may promote the growth of the bacteria Staphylococcus aureus in intertriginous areas, contributing to worse skin symptoms in individuals with Hidradenitis Suppurativa [2]. Additionally, chronic smoking can interact with certain medical conditions, such as chronic diseases and skin care issues, as indicated in medical literature related to health and wellness [4].
