Children with Hidradenitis Suppurativa Face High Rates of Acne, Obesity, and Anxiety

A recent study has brought attention to the complex challenges faced by children with hidradenitis suppurativa (HS), a chronic and often painful skin condition. According to new research summarized by Healio, children diagnosed with HS are not only dealing with the physical impact of the disease but are also more likely to experience other health issues, including acne, obesity, and anxiety.

HS is a long-term inflammatory skin disorder characterized by painful lumps, abscesses, and scarring, typically affecting areas such as the underarms, groin, and buttocks. While it is more commonly recognized in adults, an increasing number of cases are being identified in children and adolescents. The study reviewed medical records of pediatric patients with HS, aiming to better understand the broader impact of the condition.

The findings revealed that acne is especially common among children with HS, suggesting shared risk factors or overlapping pathways between the two skin conditions. Acne, itself a frequent concern in adolescence, can compound the emotional and social difficulties already associated with HS.

Obesity was also found to be prevalent in this group. The study suggests that children with HS are more likely to be overweight or obese compared to their peers. This relationship may be due in part to shared inflammatory mechanisms or lifestyle factors. Obesity can further worsen HS symptoms and make management more challenging, creating a cycle that is difficult to break.

Mental health emerged as another significant concern. The research highlighted higher rates of anxiety among children with HS. The physical discomfort, visible skin changes, and social stigma associated with the disease can all contribute to psychological distress. For many children, concerns about appearance and pain can lead to withdrawal from social activities and negatively affect quality of life.

The study’s authors emphasize the importance of a holistic approach to care for pediatric HS patients. Addressing only the skin symptoms is not enough; clinicians should be vigilant for signs of related conditions like acne and obesity, as well as mental health issues such as anxiety. Early intervention and multidisciplinary care—including dermatologists, mental health professionals, and nutritionists—can help improve both physical and psychological outcomes for these children.