{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:54:46Z","timestamp":1793408086207,"version":"4.5.0"},"reference-count":182,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Deutsche Derma Gesell"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:p>\n                    The S2k guideline on hidradenitis suppurativa\/acne inversa (HS\/AI) aims to provide an accepted decision aid for the selection\/implementation of appropriate\/sufficient therapy. HS\/AI is a chronic recurrent, inflammatory, potentially mutilating skin disease of the terminal hair follicle\u2010glandular apparatus, with painful, inflammatory lesions in the apocrine gland\u2010rich regions of the body. Its point prevalence in Germany is 0.3%, it is diagnosed with a delay of 10.0 \u00b1\u00a09.6 years. Abnormal differentiation of the keratinocytes of the hair follicle\u2010gland apparatus and accompanying inflammation form the central pathogenetic basis. Primary HS\/AI lesions are inflammatory nodules, abscesses and draining tunnels. Recurrences in the last 6 months with at least 2 lesions at the predilection sites point to HS\/AI with a 97% accuracy. HS\/AI patients suffer from a significant reduction in quality of life. For correct treatment decisions, classification and activity assessment should be done with a validated tool, such as the\n                    <jats:italic>International Hidradenitis Suppurativa Severity Scoring System<\/jats:italic>\n                    (IHS4). HS\/AI is classified into two forms according to the degree of detectable inflammation: active, inflammatory (mild, moderate, and severe according to IHS4) and predominantly inactive, non\u2010inflammatory (Hurley grade I, II and III) HS\/AI. Oral tetracyclines or 5\u2010day intravenous therapy with clindamycin are equal to the effectiveness of clindamycin\/rifampicin. Subcutaneously administered adalimumab, secukinumab and bimekizumab are approved for the therapy of HS\/AI. Various surgical procedures are available for the predominantly non\u2010inflammatory disease form. Drug\/surgical combinations are considered a holistic therapy method.\n                  <\/jats:p>","DOI":"10.1111\/ddg.15412","type":"journal-article","created":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T08:20:21Z","timestamp":1716279621000},"page":"868-889","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["S2k guideline for the treatment of hidradenitis suppurativa \/ acne inversa \u2013 Short version"],"prefix":"10.1111","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1646-2608","authenticated-orcid":false,"given":"Christos C.","family":"Zouboulis","sequence":"first","affiliation":[{"name":"Departments of Dermatology Venereology Allergology and Immunology Staedtisches Klinikum Dessau Brandenburg Medical School Theodor Fontane and Faculty of Health Sciences Brandenburg  Dessau Germany"},{"name":"Hidradenitis Suppurativa Foundation e.V.  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