Colostomy May Improve Outcomes in Patients with Severe Anogenital and Gluteal Hidradenitis Suppurativa: Case Series

Authors

  • Valdis Thorhallsdottir Division of Dermatology and Venereology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Dermatology, Skane University Hospital, Lund, Sweden https://orcid.org/0009-0007-3800-2350
  • Karin Berggård Division of Dermatology and Venereology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Dermatology, Skane University Hospital, Lund, Sweden
  • Meirav Holmdahl Division of Dermatology and Venereology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Dermatology, Skane University Hospital, Lund, Sweden
  • Martin Lindsten Division of Surgery, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden; Department of Surgery, Pelvic Floor Centre, Skane University Hospital, Lund, Sweden
  • Louis Banka Johnson Division of Surgery, Department of Clinical Sciences Malmö, Lund University, Malmö, Sweden; Department of Surgery, Pelvic Floor Centre, Skane University Hospital, Lund, Sweden
  • Artur Schmidtchen Division of Dermatology and Venereology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Dermatology, Skane University Hospital, Lund, Sweden https://orcid.org/0000-0001-9209-3141
  • Anja Pahlow Mose Division of Dermatology and Venereology, Department of Clinical Sciences Lund, Lund University, Lund, Sweden; Department of Dermatology, Skane University Hospital, Lund, Sweden https://orcid.org/0000-0001-9471-6234

DOI:

https://doi.org/10.2340/actadv.v106.adv-2026-0533

Keywords:

hidradenitis suppurativa, colostomy, skin microbiome

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References

Bouazzi D, Nielsen SM, Hagan PG, Botvid S, Hove LS, Prens EP, et al. Prevalence of hidradenitis suppurativa: A meta-analysis of global hidradenitis suppurativa atlas studies. JAMA Dermatol 2025; 161: 1022–1028. DOI: https://doi.org/10.1001/jamadermatol.2025.2373

Jfri A, Netchiporouk E, Raymond K, Litvinov IV, O’Brien E. Association of clinical severity scores with psychosocial impact in patients with hidradenitis suppurativa. J Am Acad Dermatol 2021; 84: 1712–1715. DOI: https://doi.org/10.1016/j.jaad.2020.08.022

Shih T, Seivright JR, McKenzie SA, Harview CL, Truong AK, Shi VY, et al. Gender differences in hidradenitis suppurativa characteristics: A retrospective cohort analysis. Int J Womens Dermatol 2021; 7: 672–674. DOI: https://doi.org/10.1016/j.ijwd.2021.07.003

McCarthy S, Barrett M, Kirthi S, Pellanda P, Vlckova K, Tobin AM, et al. Altered skin and gut microbiome in hidradenitis suppurativa. J Invest Dermatol 2022; 142: 459–468. DOI: https://doi.org/10.1016/j.jid.2021.05.036

Chopra D, Arens RA, Amornpairoj W, Lowes MA, Tomic-Canic M, Strbo N, et al. Innate immunity and microbial dysbiosis in hidradenitis suppurativa – vicious cycle of chronic inflammation. Front Immunol 2022; 13: 960488. DOI: https://doi.org/10.3389/fimmu.2022.960488

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Chen WTCCC. Association of hidradenitis suppurativa with inflammatory bowel disease: A systematic review and meta-analysis. JAMA Dermatol;2019 ; 155: 1022–1027. DOI: https://doi.org/10.1001/jamadermatol.2019.0891

Yadav S, Singh S, Edakkanambeth Varayil J, Harmsen WS, Zinsmeister AR, Tremaine WJ, et al. Hidradenitis suppurativa in patients with inflammatory bowel disease: A population-based cohort study in Olmsted County, Minnesota. Clin Gastroenterol Hepatol 2016; 14: 65–70. DOI: https://doi.org/10.1016/j.cgh.2015.04.173

Kamal N, Cohen BL, Buche S, Delaporte E, Colombel JF. Features of patients with Crohn’s disease and hidradenitis suppurativa. Clin Gastroenterol Hepatol 2016; 14: 71–79. DOI: https://doi.org/10.1016/j.cgh.2015.04.180

Pascal V, Pozuelo M, Borruel N, Casellas F, Campos D, Santiago A, et al. A microbial signature for Crohn’s disease. Gut 2017; 66: 813–822. DOI: https://doi.org/10.1136/gutjnl-2016-313235

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Garbarino F, Manfredini M, Rossi E, Magnoni C. Two-step surgery in extensive anogenital hidradenitis: What kind of faecal management? Int Wound J 2019; 16: 866–867. DOI: https://doi.org/10.1111/iwj.13102

Published

2026-08-25

How to Cite

Thorhallsdottir, V., Berggård, K., Holmdahl, M., Lindsten, M., Johnson, L. B., Schmidtchen, A., & Mose, A. P. (2026). Colostomy May Improve Outcomes in Patients with Severe Anogenital and Gluteal Hidradenitis Suppurativa: Case Series. Acta Dermato-Venereologica, 106, adv–2026. https://doi.org/10.2340/actadv.v106.adv-2026-0533

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