idradenitis suppurativa (HS) is one of the most distressing conditions in dermatology, with a remarkable negative effect on the quality of life of affected patients. 1 The pathogenesis of HS remains unclear. However, according to previous histologic studies, it is a multifocal inflammatory skin disease, in which atrophy of the sebaceous glands is followed by an early lymphocytic inflammation and hyperkeratosis of the pilosebaceous unit and, later, by granuloma formation and hair follicle destruction. [1][2][3] Previous studies reported the expression of various cytokines in the lesional HS skin. [4][5][6][7][8][9] Nevertheless, there is still a large demand for an overview to clarify the role of type 1/type 17 immune response in HS. To shed more light on immunopathogenesis of HS, the present study aimed to demonstrate the importance of these important axes in lesional HS skin by drawing a semantic connectivity map.
MethodsFor this study, 24 lesional HS biopsy samples from untreated patients with HS (16 women and 8 men; median age, 36.5 years) with a mean Hurley stage of 2.25 and 9 punch biopsy samples from healthy controls (6 women and 3 men; median age, 41 years) were obtained (Table ). Informed consent (oral and written) was obtained from the study participants. Furthermore, institutional review board IMPORTANCE In spite of progress in understanding the mechanisms underlying hidradenitis suppurativa (HS) as an inflammatory skin disease, there is still a demand for an overview on immunopathogenesis of HS.OBJECTIVE To demonstrate the importance of the type 1/type 17 immune response in lesional HS skin by drawing a semantic connectivity map.DESIGN, SETTING, AND PARTICIPANTS Single-center case series of 24 patients with HS.