Hidradenitis Suppurativa in Pregnancy: A Case Report and Clinical Insights

Introduction: Hidradenitis Suppurativa (HS) is a chronic and relapsing acneiform inflammation of the skin, apocrine glands and subcutaneous tissues. It is common among women of the reproductive age group. It is a chronic debilitating condition which may significantly affect the quality of life based on the severity of disease. HS during pregnancy requires additional care and treatment may be challenging in severe or refractory cases. Case: We report a case of HS during pregnancy who presented at term with painful skin lesions. Discussion: Patients with HS are found to have higher chances of adverse maternofoetal outcomes when compared to general population. In cases where there are worsening symptoms, treatment becomes a challenge. A postpartum flare of symptoms may also be debilitating and affect the quality of life in patients. Conclusion: There is a paucity of data for optimal management of HS in pregnancy especially mode of delivery. There is a need for guidelines for the management of skin conditions during pregnancy and its implications.