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引用次数: 0

摘要

化脓性汗腺炎(HS)是一种三间区慢性皮肤病,常表现为排脓脓肿、深痛结节、可能的窦道和广泛瘢痕形成,可显著影响患者的生活质量(QoL),因此早期诊断和开始治疗至关重要。本文回顾了文献中描述的现有HS循证治疗指南,按Hurley系统分类的HS阶段,可用的治疗方案以及短期和长期疾病管理策略,这些都是提高患者满意度的关键。常见的HS生理和心理合并症,如高血压、代谢综合征、多囊卵巢综合征、抑郁和焦虑也进行了讨论,重点是皮肤科医师助理在合并症筛查和必要时管理转诊的作用。该项目已通过医师助理审查小组的CME审查,并批准最多1小时的AAPA第一类CME学分。批准有效期为1年,自2022年6月1日发布之日起算。参与者可在此期间的任何时间提交自评考试。本项目按照AAPA的《耐用材料项目CME标准》和《耐用材料项目商业支持标准》制定。SDPA会员可通过https://www.dermpa.org/JDPA_Exams (https://www.dermpa.org/JDPA_Exams)访问后测。
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Hidradenitis Suppurativa: Managing a Complex Disease with Multiple Comorbidities
Hidradenitis suppurativa (HS), a chronic skin disorder of the intertriginous areas that frequently presents with draining abscesses, deep painful nodules, possible sinus tracts, and the development of widespread scarring, can significantly impact a patient’s quality of life (QoL), therefore early diagnosis and initiation of treatment is vital. This article reviews the existing evidence-based treatment guidelines for HS as described in the literature, stages of HS as categorized by the Hurley system, available treatment options, and short- and long-term disease management strategies, all key to improved patient satisfaction. Common physical and psychological comorbidities of HS, such as hypertension, metabolic syndrome, polycystic ovarian syndrome, depression, and anxiety are also discussed with emphasis on the dermatology physician assistant’s role in comorbidities screening and managing referrals when necessary. This program has been CME reviewed and is approved for a maximum of 1 hours of AAPA Category I CME credit by the Physician Assistant Review Panel. Approval is valid for 1 year from the issue date of June 1, 2022. Participants may submit the self-assessment exam at any time during that period. This program was planned in accordance with AAPA’s CME Standards for Enduring Material Programs and for Commercial Support of Enduring Material Programs. SDPA members may access the post-test at https://www.dermpa.org/JDPA_Exams (https://www.dermpa.org/JDPA_Exams)
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