{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T21:38:32Z","timestamp":1792532312260,"version":"4.5.0"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,10,10]],"date-time":"2017-10-10T00:00:00Z","timestamp":1507593600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      Overweight is a well\u2010established risk factor for hidradenitis suppurativa (\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      ). In this cross\u2010sectional study, we compare\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      patients with a high body mass index (\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      ) with\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      patients with a low\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      to investigate differences in disease characteristics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and method<\/jats:title>\n                    <jats:p>\n                      Patients were recruited from 17 dermatological centres from four continents. A total of 246 patients with a\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      below 25 were compared to 205 patients with a\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      of above 35.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients with a high\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      suffered more severe disease (Hurley, physician global assessment, number of areas affected and patient\u2010reported severity (PRS),\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001 for all). There was no difference in smoking (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.783) nor in family history (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.088).\u00a0In both low and high\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      patients, early onset of\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      was a predictor of positive family history (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, for each). For low\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      patients, an increase in\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      significantly increased PRS (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). For patients with a high\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      , number of pack\u2010years significantly increased PRS (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a00.001). Cluster analysis of eruption patterns was location specific for low\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      patients but severity specific for high\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      patients.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      Patients with a low and high BMI could represent two clinically different subtypes. We suggest a non\u2010linear relationship between\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      and impact of\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      . As patients go from a low\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      patient to a high\n                      <jats:styled-content style=\"fixed-case\">BMI<\/jats:styled-content>\n                      patient (or from high to low), eruption patterns and risk factors may change.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.14599","type":"journal-article","created":{"date-parts":[[2017,9,21]],"date-time":"2017-09-21T03:02:53Z","timestamp":1505962973000},"page":"307-312","source":"Crossref","is-referenced-by-count":63,"title":["Low and high body mass index in hidradenitis suppurativa patients\u2014different subtypes?"],"prefix":"10.1111","volume":"32","author":[{"given":"P.","family":"Theut Riis","sequence":"first","affiliation":[{"name":"Department of Dermatology University Hospital Zealand Roskilde Denmark"},{"name":"Health Sciences Faculty University of Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.M.","family":"Saunte","sequence":"additional","affiliation":[{"name":"Department of Dermatology University Hospital Zealand Roskilde Denmark"},{"name":"Health Sciences Faculty University of Copenhagen Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Benhadou","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hopital Erasme Universit\u00e9 Libre de Bruxelles Bruxelles Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"del Marmol","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hopital Erasme Universit\u00e9 Libre de Bruxelles Bruxelles Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Guillem","sequence":"additional","affiliation":[{"name":"Clinique du Val d'Ouest Ecully France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"El\u2010Domyati","sequence":"additional","affiliation":[{"name":"Department of Dermatology Minia University Al\u2010Minya Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H.","family":"Abdel\u2010Wahab","sequence":"additional","affiliation":[{"name":"Department of Dermatology Minia University Al\u2010Minya Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Antoniou","sequence":"additional","affiliation":[{"name":"Department of Dermatology Andreas Sygros Hospital University of Athens Athens Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Dessinioti","sequence":"additional","affiliation":[{"name":"Department of Dermatology Andreas Sygros Hospital University of Athens Athens 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Tunisia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.F.","family":"Massa","sequence":"additional","affiliation":[{"name":"Cl\u00ednica Dermatol\u00f3gica Porto Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Hamzavi","sequence":"additional","affiliation":[{"name":"Department of Dermatology Henry Ford Hospital Detroit MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Nicholson","sequence":"additional","affiliation":[{"name":"Department of Dermatology Henry Ford Hospital Detroit MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Dolenc\u2010Voljc","sequence":"additional","affiliation":[{"name":"Department of Dermatovenereology University Medical Centre Ljubljana Ljubljana Slovenia"},{"name":"Faculty of Medicine University of Ljubljana Ljubljana 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