Indian Journal of Dermatology
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Year : 2022  |  Volume : 67  |  Issue : 6  |  Page : 699-704

Hidradenitis suppurativa: Consequences of microbiome dysbiosis on immune dysregulation and disease severity

From the Department of Dermatology, School of Medicine, University of Alabama at Birmingham, AL, USA

Correspondence Address:
Nabiha Yusuf
1670, University Boulevard, VH 566A, Birmingham AL
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijd.ijd_623_21

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Hidradenitis suppurativa (HS) is a chronic inflammatory condition characterized by the formation of nodules, abscesses, and sinus tracts with tunnels that primarily involves the skin folds. HS affects approximately 1% of the population, but its pathogenesis is unclear. Dysbiosis of skin microbiome is a major cause of HS and alterations of microbiome composition and diversity can be seen in the skin of patients with HS. These disruptions may contribute to the immune dysfunction seen in HS. Understanding these alterations and their contributions to the pathogenesis of HS could help guide future treatment. In addition to dysbiosis promoting immune dysregulation, HS may promote dysbiosis via differences in expression of antimicrobial peptides (AMPs). In this review, we have discussed the role of skin and gut microbiome in manifestation of HS and the consequences of dysbiosis on the immune system.

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