Hidradenitis suppurativa and sleep: a systematic review

Arch Dermatol Res. 2023 Jul;315(5):1409-1415. doi: 10.1007/s00403-022-02460-x. Epub 2022 Nov 18.

Abstract

Chronic inflammatory skin disorders are known to affect sleep quality; however, the relationship between hidradenitis suppurativa (HS) and sleep is not well understood. We performed a systematic review of HS and sleep disorders and sleep quality in HS patients. We identified seven studies comprising 343,870 subjects. We found that HS patients have a higher likelihood of having a sleep disorder such as obstructive sleep apnea, as well as other non-sleep apnea. Several studies showed that patients reported worse sleep quality due to symptoms of HS such as pruritus and pain. HS patients may be at risk for additional cardiovascular comorbidities and poorer quality of life secondary to these sleep disorders and poor sleep quality. Further high-quality research evaluating these associations is warranted.

Keywords: Hidradenitis suppurativa; Hypersomnia; Insomnia; Mental health; Quality of life; Sleep apnea; Wakefulness.

Publication types

  • Systematic Review

MeSH terms

  • Comorbidity
  • Hidradenitis Suppurativa* / epidemiology
  • Humans
  • Quality of Life
  • Skin
  • Sleep Wake Disorders*