Open AccessUndergarment and Fabric Selection in the Management of Hidradenitis Suppurativa
Author(s) -
Tiffany Y. Loh,
Aleksi J. Hendricks,
Jennifer L. Hsiao,
Vivian Y. Shi
Publication year - 2019
Publication title -
dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.224
H-Index - 92
eISSN - 1421-9832
pISSN - 1018-8665
DOI - 10.1159/000501611
Subject(s) - intertriginous , hidradenitis suppurativa , medicine , dermatology , exacerbation , selection (genetic algorithm) , clothing , disease , pathology , computer science , archaeology , artificial intelligence , history
Hidradenitis suppurativa (HS) is a chronic inflammatory condition manifesting as recurrent and exquisitely painful nodules in intertriginous regions. The role of mechanical stress in HS pathogenesis is gaining attention, as factors including intertriginous distribution of lesions, obesity, sweating, and suboptimal clothing contribute to increased friction and exacerbation of disease. Undergarment and clothing selection are often-overlooked components of HS management and should be addressed with patients as practical lifestyle changes that can decrease the frequency of disease flares and reduce symptoms of pain and irritation at involved sites. Selection of breathable and absorbent fabrics can also aid in reducing microbial colonization, sweat retention, and odor. This discussion is based on expert recommendations and aims to provide practitioners with the rationale for appropriate undergarment and clothing selection for HS patients. We propose practical principles for choosing undergarment design and fabrics for breathability, absorbency, and skin pressure reduction.