Distinguishing Mild, Moderate, and Severe Hidradenitis Suppurativa

To the Editor We read with great interest the article by Hessam and colleagues published in a recent issue of JAMA Dermatology describing the evaluation of a novel comprehensive score for hidradenitis suppurativa (HS) severity assessment. A highly inflammatory destructive disease, HS mainly affects axillary, inguinal, and perianal body areas. Patients with HS show signs of systemic inflammation and additionally often have metabolic syndrome, spondyloarthritis, or inflammatory bowel disease. Furthermore, HS has a tremendous negative effect on life quality and leads to reduced life expectancy.