Evidence map›Paper›PMID 42768237›Full record

ReviewDermatology and therapy2026

Hidradenitis Suppurativa from Preconception to Lactation: Clinical Treatment Decision-Making Review.

Miłosz Lewandowski, Wiktoria Szablewska, Martyna Sławińska, Aleksandra Kujach, Roman J Nowicki, Wioletta Barańska-Rybak

Abstract readReview
PubMed Publisher
In one paragraph

Review in Dermatology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Miłosz Lewandowski *Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17 Street, 80-214, Gdańsk, Poland. milosz.lewandowski@gumed.edu.pl.ORCID http://orcid.org/0000-0002-3561-5705
Wiktoria Szablewska *Dermatological Students Scientific Association, Department of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Martyna SławińskaDepartment of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17 Street, 80-214, Gdańsk, Poland.
Aleksandra KujachDepartment of Dermatology, Venereology and Allergology, University Clinical Centre in Gdańsk,, Dębinki 7 Street, 80-952, Gdańsk, Poland.
Roman J NowickiDepartment of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17 Street, 80-214, Gdańsk, Poland.
Wioletta Barańska-RybakDepartment of Dermatology, Venereology and Allergology, Faculty of Medicine, Medical University of Gdańsk, Smoluchowskiego 17 Street, 80-214, Gdańsk, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hidradenitis suppurativa is a chronic, inflammatory skin disease that predominantly affects women of reproductive age and may require continuous therapeutic control during pregnancy and lactation. This review summarizes current evidence on the safety and practical use of topical, systemic, biologic, metabolic, and procedural therapies for HS throughout the preconception, gestational, peripartum, and breastfeeding periods. Topical clindamycin, benzoyl peroxide, chlorhexidine, and selected beta-lactam antibiotics appear to represent preferred options for mild disease or acute flares, whereas tetracyclines, retinoids, spironolactone, apremilast, Janus kinase inhibitors, and most glucagon-like peptide-1 (GLP-1) receptor agonists require avoidance or discontinuation because of fetal or neonatal safety concerns. Among biologics, tumor necrosis factor-α inhibitors remain the best-characterized agents, with certolizumab pegol offering minimal placental transfer and adalimumab or infliximab requiring individualized decisions regarding continuation and timing of discontinuation. Evidence for newer agents, including secukinumab and bimekizumab, is evolving but remains more limited. The review also highlights the importance of preconception counseling, medication transition, multidisciplinary delivery planning, postpartum flare prevention, breastfeeding-compatible therapy, and individualized procedural management. The management considerations presented herein are intended to support individualized clinical decision-making and should not be interpreted as formal guideline recommendations.Graphical abstract available for this article.

Indexed as

BiologicsBreastfeedingHidradenitis suppurativaLactationPreconception counselingPregnancyTreatment safetyWomen’s health

Identifiers

PMID42768237

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.