Evidence map›Paper›PMID 40607836›Full record

ArticleActa dermato-venereologica2025

Bidirectional Risk Association Between Hidradenitis Suppurativa and Inflammatory Bowel Disease.

Louise Lönndahl, Maria Najeeb, Hassan Killasli, Lennart Emtestam, Ralf J Ludwig, Philip Curman

Abstract read
In one paragraph

Article in Acta dermato-venereologica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. The Genetics of Hidradenitis Suppurativa.Clinical, cosmetic and investigational dermatology · 2026
    Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Louise LönndahlDermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden; Dermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-0410-2795
Maria NajeebDermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden.
Hassan KillasliDermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden; Section of Infectious Disease and Dermatology, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.
Lennart EmtestamDermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden; Section of Infectious Disease and Dermatology, Department of Medicine, Huddinge, Karolinska Institutet, Stockholm, Sweden.
Ralf J LudwigInstitute and Comprehensive Centre for Inflammation Medicine, University-Hospital Schleswig-Holstein (UKSH), Campus Lübeck, Lübeck, Germany; Department of Dermatology, UKSH, Campus Lübeck, Lübeck, Germany; Lübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany.ORCID 0000-0002-1394-1737
Philip CurmanDermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden; Dermatology and Venereology Division, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden; Lübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, Germany; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden. philip.curman@ki.se.ORCID 0000-0003-2051-8491

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hidradenitis suppurativa is an inflammatory skin disease of the pilosebaceous unit encompassing painful, recurrent, and malodorous abscesses, inflammatory nodules, dermal sinus tracts, and cicatrices. Hidradenitis suppurativa has been linked to several comorbidities, including inflammatory bowel disease, though evidence is limited by small sample sizes and possible bidirectional associations remain uncertain. A large-scale, propensity-score matched retrospective cohort study was performed using the TriNetX platform to investigate bidirectional risks between hidradenitis suppurativa and inflammatory bowel disease. Data included over 200,000 hidradenitis suppurativa patients and 3.3 million inflammatory bowel disease patients. Hidradenitis suppurativa was associated with a 36% increased risk of developing any inflammatory bowel disease diagnosis within 5 years of diagnosis (hazard ratio [HR] 1.356, confidence interval [CI] 1.313-1.401), with the highest risk of Crohn's disease (HR 2.501, CI 2.209-2.832), followed by ulcerative colitis (UC) (HR 1.722, CI 1.536-1.930), and other/unspecified inflammatory bowel disease (HR 1.349, CI 1.306-1.394). Conversely, individuals with any inflammatory bowel disease diagnosis had a 31% increased risk of developing hidradenitis suppurativa (HR 1.313, CI 1.274-1.353), with Crohn's disease showing the strongest association (HR 2.441, CI 2.242-2.658), followed by UC (HR 1.493, CI 1.358-1.642). These findings highlight the bidirectional risk relationship between hidradenitis suppurativa and inflammatory bowel disease, demonstrating that the likelihood of developing either condition is significantly elevated in patients already diagnosed with the other.

Indexed as

Colitis, UlcerativeCrohn DiseaseHidradenitis SuppurativaInflammatory Bowel DiseasesAdultComorbidityDatabases, FactualFemaleHumansMaleMiddle AgedPropensity ScoreRetrospective StudiesRisk AssessmentRisk FactorsTime Factors

Identifiers

PMID40607836
PMCPMC12239007

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.