Approaching hidradenitis suppurativa in children

Hidradenitis suppurativa is a chronic inflammatory skin condition that can begin in childhood or adolescence, yet diagnosis is often delayed. Recognising early signs is important to help patients access appropriate treatment before the disease progresses.

In this video, Dr Vincenzo Piccolo explores the clinical presentation of hidradenitis suppurativa in younger patients, highlighting features that may be overlooked or mistaken for other skin conditions.

Early signs can include flexural comedones, particularly double-opening comedones in areas such as the axillae and groin. Recurrent inflammatory nodules, abscesses, and lesions affecting the buttocks or breast region may also indicate hidradenitis suppurativa. Persistent or recurrent lesions that do not respond to standard antibiotic treatment warrant further consideration.

Dr Piccolo also discusses associated comorbidities, potential syndromic presentations, and treatment approaches for children and adolescents, emphasising the importance of individualised management.

For GPs, familiarity with these presentations can support earlier recognition, appropriate referral, and timely intervention to help reduce disease progression and its impact on quality of life.

Watch the video to explore the clinical features of paediatric hidradenitis suppurativa and strengthen your understanding of this often under-recognised condition.

Please note: This video contains graphic medical images of children. Viewer discretion is advised.

Watch the presentation

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About Dr Vincenzo Piccolo

Dr Vincenzo Piccolo is a dermatologist in private practice as well as responsible for the Paediatric Dermatology Service, Dermatology Unit, University of Campania, Naples, Italy. At the university, Dr Piccolo teaches the advanced course Management and Treatment of Skin Cancer and is also in the Paediatrics Residency School. He is the author of 92 scientific publications in international journals. 

 

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