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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Hidradenitis suppurativa &#40;HS&#41; is a chronic inflammatory disease characterized by the recurrence of nodular lesions that are abscess-like in appearance and mainly affect skinfolds&#46; The lesions are painful and progress to fistulas&#44; scarring&#44; and fibrosis&#44; thus generating considerable local morbidity and marked impairment of the patient&#39;s quality of life&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">This issue of Actas Dermosifiliogr&#225;ficas addresses the clinical characteristics of a series of 66 patients<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> that was remarkable for the long delay between onset of symptoms and diagnosis&#46; This reached 7 years&#44; entailing irreversible structural damage in many patients&#44; who are unable to benefit from the latest advances in the management and treatment of HS&#46; The authors also identify a specific patient profile &#40;male&#44; perianal and gluteal involvement&#41;&#44; in which the risk of progression and poor prognosis is greater&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Another remarkable aspect of HS is the frequent association of comorbid conditions such as smoking and obesity&#46; Associated psychiatric conditions &#40;depression and anxiety&#41; are also very common and may share pathogenic mechanisms with HS&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Knowledge of the different profiles of HS is essential&#44; especially in cases with a greater disease burden&#44; both for the dermatologist and other specialists &#40;family physicians&#44; gynecologists&#44; general surgeons&#41; involved in the care of these patients&#46; HS should be managed based on an integrated approach&#44; and health professionals should be fully familiarized with the scales used to evaluate severity&#44; itching&#44; pain&#44; and quality of life&#46; Imaging techniques such as skin ultrasound should be used to stage and monitor the disease appropriately&#46;<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">If we are to significantly reduce morbidity and sequelae&#44; then early diagnosis and treatment to control inflammation and modify the natural history of HS are essential&#46;</p></span>"
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