{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T19:53:37Z","timestamp":1792007617832,"version":"4.4.0"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2019,6,23]],"date-time":"2019-06-23T00:00:00Z","timestamp":1561248000000},"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":["Acad Dermatol Venereol"],"published-print":{"date-parts":[[2019,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      It has been reported that clinical evaluation consistently underestimates the severity of hidradenitis suppurativa (\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>\n                      To determine the usefulness of ultrasound as a diagnostic tool in\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      compared with clinical examination and to assess the subsequent modification of disease management.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional multicentre study. Severity classification and therapeutic approach according to clinical vs. ultrasound examination were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 143\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      patients were included. Clinical examination scored 38, 70 and 35 patients as Hurley stage I,\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      , respectively; with ultrasound examination, 21, 80 and 42 patients were staged with Hurley stage I,\n                      <jats:styled-content style=\"fixed-case\">II<\/jats:styled-content>\n                      and\n                      <jats:styled-content style=\"fixed-case\">III<\/jats:styled-content>\n                      disease, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). In patients with stage I classification as determined by clinical examination, 44.7% changed to a more severe stage. Clinical examination indicated that 44.1%, 54.5% and 1.4% of patients would maintain, increase or decrease treatment, respectively. For ultrasound examination, these percentages were 31.5%, 67.1% and 1.4% (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.01). Concordance between clinical and ultrasound intra\u2010rater examination was 22.8% (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.01); intra\u2010rater and inter\u2010rater (radiologist) ultrasound agreement was 94.9% and 81.7%, respectively (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a00.01).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Limitations<\/jats:title>\n                    <jats:p>The inability to detect lesions that measure \u22640.1\u00a0mm or with only epidermal location.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      Ultrasound can modify the clinical staging and therapeutic management in\n                      <jats:styled-content style=\"fixed-case\">HS<\/jats:styled-content>\n                      by detecting subclinical disease.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdv.15710","type":"journal-article","created":{"date-parts":[[2019,5,24]],"date-time":"2019-05-24T03:42:07Z","timestamp":1558669327000},"page":"2137-2142","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":90,"title":["Ultrasound as a diagnostic and management tool in hidradenitis suppurativa patients: a multicentre study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1378-1590","authenticated-orcid":false,"given":"A.","family":"Martorell","sequence":"first","affiliation":[{"name":"Department of Dermatology Hospital de Manises Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Alfageme Rold\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Puerta de Hierro Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.","family":"Vilarrasa Rull","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital de la Santa Creu i Sant Pau Universitat Aut\u00f2noma de Barcelona Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0381-6174","authenticated-orcid":false,"given":"R.","family":"Ruiz\u2010Villaverde","sequence":"additional","affiliation":[{"name":"Department of dermatology Hospital Virgen de las Nieves Granada Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Roman\u00ed De Gabriel","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Parc Taul\u00ed Sabadell Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F.","family":"Garc\u00eda Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital del Sureste Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Vidal Sarro","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Sant Joan Despi Moises Broggi Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Velasco Pastor","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital Arnau de Vilanova Valencia Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.","family":"Ciudad Blanco","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital General Universitario Gregorio Mara\u00f1\u00f3n Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.M.","family":"Segura Palacios","sequence":"additional","affiliation":[{"name":"Department of Dermatology Hospital costa del Sol Marbella 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