Research

HS research update (2026-10-01): What’s new on PubMed?

A patient-friendly overview of new PubMed publications on hidradenitis suppurativa (acne inversa) — with sources, clear limitations, and no medical advice.

Publication overview

This update includes 22 PubMed publications with abstracts from the monitoring window 2026-09-17 to 2026-10-01. The most common themes are biologicsBiologic: A class of medications derived from living cells that target specific components of the inflammatory process. For Acne Inversa, biologics such as adalimumab and secukinumab are used when other treatments are insufficient., pain, wound care, quality of life, comorbiditiesComorbidity: An additional condition existing alongside the primary disease. Acne Inversa is frequently associated with comorbidities including metabolic syndrome, inflammatory bowel disease, spondyloarthritis, and depression..

  • Compared with the previous update: not automatically assessed.
  • No guideline/NEJM/Lancet-style high-impact matches with abstracts in this window.
  • This is a research overview, not a guideline update or medical recommendation.

Top highlights

The most useful signal this round is not a single treatment instruction. It is what researchers are looking at more closely: wound healing after procedures, possible new anti-inflammatory approaches, care quality, and comorbidities.

  • Hidradenitis Suppurativa: Part of a Tetrad of Follicular OcclusionFollicular Occlusion: The blockage of hair follicles is considered a key starting point in the development of Acne Inversa. When a follicle becomes obstructed, inflammation can spread deep into tissue, leading to nodules, abscesses, and sinus tracts. Disorders.: The abstract describes a new publication. In practical terms, it focuses on this question or finding: UNLABELLED: Follicular occlusion disorders (FOD) represent a tetrad of chronic, recurrent inflammatory conditions united by a common pathophysiologic mechanism: follicular hyperkeratosisHyperkeratosis: An excess buildup of keratin in the outer layers of skin or inside a follicle. Hyperkeratosis of the follicular wall physically blocks the follicle, setting the first step of Acne Inversa pathology in motion. leading to occlusion, rupture,… What makes it notable here is that it approaches HS through biologics, quality of life, pain, wound care, surgery. The main limitation to keep in mind is: From the abstract alone, it is hard to judge the study design, patient selection, and follow-up in full. (PMID 42759045)
  • Pathogenesis of hidradenitis suppurativa: From susceptibility to chronicity.: The abstract describes a new publication. In practical terms, it focuses on this question or finding: Hidradenitis suppurativa (HS) is a chronic, recurrent inflammatory skin disease characterized by painful nodulesNodule: A firm, palpable lump deep in tissue. Nodules can be painful and may progress to abscesses. They are among the typical early signs of Acne Inversa., abscessesAbscess: An inflamed cavity or swelling containing pus or fluid. In hidradenitis suppurativa, abscesses can form as part of the inflammatory disease process and do not automatically mean that a bacterial infection is present. Secondary bacterial infection can occur and may require separate medical assessment. In Acne Inversa, abscesses occur mainly in the armpits, groin, and other skin folds., draining tunnelsDraining Tunnel: A sinus tract or fistula actively leaking fluid (serous, purulent, or blood-tinged) to the surface. Draining tunnels carry the heaviest weight in modern HS severity scores because they signal long-standing, structurally damaged disease. and scarring, with substantial effects on quality of life. Although the the… What makes it notable here is that it approaches HS through quality of life, biologics, pain. The main limitation to keep in mind is: From the abstract alone, it is hard to judge the study design, patient selection, and follow-up in full. (PMID 42786922)
  • Hidradenitis Suppurativa from Preconception to Lactation: Clinical Treatment Decision-Making Review.: The abstract describes a new publication. In practical terms, it focuses on this question or finding: 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 summariz… What makes it notable here is that it approaches HS through biologics, jak inhibitor, comorbidities. The main limitation to keep in mind is: From the abstract alone, it is hard to judge the study design, patient selection, and follow-up in full. (PMID 42768237)
  • A Silent Killer in an Unlikely Place: Necrotizing Fasciitis of the Breast.: The abstract describes a new publication. In practical terms, it focuses on this question or finding: Primary necrotizing fasciitis (NF) of the breast is a rare, life-threatening soft tissue infection that is frequently misdiagnosed due to its non-specific early presentation and uncommon anatomical location.Objective:… What makes it notable here is that it approaches HS through biologics, pain, wound care. The main limitation to keep in mind is: From the abstract alone, it is hard to judge the study design, patient selection, and follow-up in full. (PMID 42764423)
  • IL-17 treatment and side-effect management: This paper focuses on mucocutaneous candidiasis during bimekizumabBimekizumab: A monoclonal antibody blocking both IL-17A and IL-17F. Approved by the FDA on 20 November 2024 as the first IL-17A and IL-17F inhibitor for adults with moderate-to-severe HS; approved by the EMA in April 2024. Brand name: Bimzelx®. therapy for HS. The new angle is practical: how prevention and early management of a known IL-17-pathway adverse event might affect tolerability and treatment persistence. (PMID 42812940)

The featured paper is Efficacy and safety of two interleukin-17Interleukin-17 (IL-17): Inflammatory cytokines (IL-17A and IL-17F) that drive neutrophil recruitment and tissue damage in Acne Inversa. IL-17A is blocked by secukinumab; both IL-17A and IL-17F are blocked by bimekizumab. inhibitors (bimekizumab and secukinumabSecukinumab: A biologic drug that inhibits the inflammatory messenger interleukin-17A (IL-17A). Secukinumab was approved as the second biologic for treating Acne Inversa and is available under the brand name Cosentyx®.) in the management of hidradenitis suppurativa: a systematic review and meta-analysis of randomized controlled trials. in Skin health and disease (PMID 42812940). The abstract mainly says this: Hidradenitis suppurativa (HS) is a chronic inflammatory skin condition that primarily affects the intertriginous regions, causing manifestations such as inflammatory nodules, abscesses and scarring. OBJECTIVES: To sys…

Why it stands out: it connects to the priority themes biologics, pain and shows what HS researchers are trying to clarify right now. For readers, it matters because it gives one concrete example of how the field is framing a practical question or possible mechanism. The main limitation is that Its strength depends on the quality and comparability of the included studies, and an abstract does not expose every methodological weakness.

What this may mean for patients (carefully, no advice)

If you live with HS, research updates can help you make sense of what’s being studied — for example which outcomes (pain, quality of life) researchers measure, or which comorbidities are increasingly part of the conversation.

But even when a study sounds promising, it usually does not tell you what is right for you personally. Consider using new findings as questions for your next appointment (e.g., “What are realistic goals for me?” or “Which related conditions should we keep an eye on?”), not as instructions.

What we don’t know / limitations

  • This update includes only PubMed items with an abstract (without an abstract, safe summarization is limited).
  • Studies vary widely (design, populations, outcome measures).
  • This update provides no treatment advice and cannot assess individual risk.

Important: decisions belong in clinician conversations

This article is an editorial overview and is not medically reviewed. If something here worries or interests you, use it as a conversation starter for your next appointment. Decisions should always be made with qualified healthcare professionals.

FAQ

Why are there only a few new publications here?

This format is deliberately strict: it includes only new PubMed items from the monitoring window that have an abstract and were not already covered in earlier posts.

Does a new paper mean my treatment should change?

No. A single publication can be useful to know about, but it is usually not enough to guide decisions for one specific person.

Why emphasize limitations so much?

Because abstracts show only part of the picture. Study design, patient population, endpoints, and follow-up all matter before results can be interpreted responsibly.

Sources & original papers

Each point below maps to an original source (PubMed link, plus DOI/PMCID when available).

Terms explained in this article

Quick definitions of the key medical terms. Select any term for its full glossary entry.

Biologic
A class of medications derived from living cells that target specific components of the inflammatory process. For Acne Inversa, biologics such as adalimumab and secukinumab are used when other treatments are insufficient.
Comorbidity
An additional condition existing alongside the primary disease. Acne Inversa is frequently associated with comorbidities including metabolic syndrome, inflammatory bowel disease, spondyloarthritis, and depression.
Follicular Occlusion
The blockage of hair follicles is considered a key starting point in the development of Acne Inversa. When a follicle becomes obstructed, inflammation can spread deep into tissue, leading to nodules, abscesses, and sinus tracts.
Hyperkeratosis
An excess buildup of keratin in the outer layers of skin or inside a follicle. Hyperkeratosis of the follicular wall physically blocks the follicle, setting the first step of Acne Inversa pathology in motion.
Nodule
A firm, palpable lump deep in tissue. Nodules can be painful and may progress to abscesses. They are among the typical early signs of Acne Inversa.
Abscess
An inflamed cavity or swelling containing pus or fluid. In hidradenitis suppurativa, abscesses can form as part of the inflammatory disease process and do not automatically mean that a bacterial infection is present. Secondary bacterial infection can occur and may require separate medical assessment. In Acne Inversa, abscesses occur mainly in the armpits, groin, and other skin folds.
Draining Tunnel
A sinus tract or fistula actively leaking fluid (serous, purulent, or blood-tinged) to the surface. Draining tunnels carry the heaviest weight in modern HS severity scores because they signal long-standing, structurally damaged disease.
Bimekizumab
A monoclonal antibody blocking both IL-17A and IL-17F. Approved by the FDA on 20 November 2024 as the first IL-17A and IL-17F inhibitor for adults with moderate-to-severe HS; approved by the EMA in April 2024. Brand name: Bimzelx®.
Interleukin-17 (IL-17)
Inflammatory cytokines (IL-17A and IL-17F) that drive neutrophil recruitment and tissue damage in Acne Inversa. IL-17A is blocked by secukinumab; both IL-17A and IL-17F are blocked by bimekizumab.
Secukinumab
A biologic drug that inhibits the inflammatory messenger interleukin-17A (IL-17A). Secukinumab was approved as the second biologic for treating Acne Inversa and is available under the brand name Cosentyx®.

References

  1. 'My HS is significantly impacted by my cycle': a cross-sectional study exploring the impact of menstruation and pregnancy on hidradenitis suppurativa. Skin health and disease, 2026 — PMID 42812963 · DOI 10.1093/skinhd/vzag087 · PMCID PMC13623445
  2. Efficacy and safety of two interleukin-17 inhibitors (bimekizumab and secukinumab) in the management of hidradenitis suppurativa: a systematic review and meta-analysis of randomized controlled trials. Skin health and disease, 2026 — PMID 42812940 · DOI 10.1093/skinhd/vzag102 · PMCID PMC13623431
  3. Hidradenitis Suppurativa: Part of a Tetrad of Follicular Occlusion Disorders. Advances in skin & wound care, 2026 — PMID 42759045 · DOI 10.1097/ASW.0000000000000523
  4. Large language models in Hidradenitis suppurativa: strong empathy, weak exposome awareness. Cutaneous and ocular toxicology, 2026 — PMID 42815942 · DOI 10.1080/15569527.2026.2740528
  5. Functional evaluation of CAR-T anti-CD123 from immune-mediated inflammatory diseases patients for novel pDCs-targeted immunotherapy. The Journal of allergy and clinical immunology, 2026 — PMID 42815783 · DOI 10.1016/j.jaci.2026.08.031
  6. Management Considerations for Patients with Hidradenitis Suppurativa and Lupus Spectrum Disease: A Narrative Review. Dermatology and therapy, 2026 — PMID 42809075 · DOI 10.1007/s13555-026-01930-8
  7. Type 1 Diabetes is Associated With Increased Therapeutic Burden in Hidradenitis Suppurativa: A Multicenter Retrospective Matched Case-Control Study. Journal of cutaneous medicine and surgery, 2026 — PMID 42803015 · DOI 10.1177/12034754261484189
  8. Glucagon-Like Peptide-1 Receptor Agonists (GLP-1RAs) in Hidradenitis Suppurativa: A Narrative Review of Emerging Evidence. Clinics in dermatology, 2026 — PMID 42790605 · DOI 10.1016/j.clindermatol.2026.09.029
  9. Pathogenesis of hidradenitis suppurativa: From susceptibility to chronicity. Journal of the European Academy of Dermatology and Venereology : JEADV, 2026 — PMID 42786922 · DOI 10.1111/jdv.70765
  10. Molecular insights into GLP-1 receptor agonists and emerging metabolic-inflammatory targets in hidradenitis suppurativa. Expert opinion on therapeutic targets, 2026 — PMID 42779274 · DOI 10.1080/14728222.2026.2738341
  11. Trephine Grattage: Optimizing the Surgical Approach for Acute Abscesses in Hidradenitis Suppurativa. International journal of dermatology, 2026 — PMID 42779007 · DOI 10.1111/ijd.70696
  12. GLP-1 Receptor Agonists in Dermatology: Prescribing Frameworks, Access, and the Emerging Pipeline. Clinics in dermatology, 2026 — PMID 42777891 · DOI 10.1016/j.clindermatol.2026.09.018
  13. Hidradenitis Suppurativa from Preconception to Lactation: Clinical Treatment Decision-Making Review. Dermatology and therapy, 2026 — PMID 42768237 · DOI 10.1007/s13555-026-01909-5
  14. Clinically relevant evidence on imaging and artificial intelligence in hidradenitis suppurativa. Journal of the European Academy of Dermatology and Venereology : JEADV, 2026 — PMID 42765561 · DOI 10.1111/jdv.70716
  15. A Silent Killer in an Unlikely Place: Necrotizing Fasciitis of the Breast. Surgical infections, 2026 — PMID 42764423 · DOI 10.1177/10962964261490203
  16. CUDERMA project: Delphi consensus on quality indicators for certification of dermatology units providing care for hidradenitis suppurativa. Actas dermo-sifiliograficas, 2026 — PMID 42762905 · DOI 10.1016/j.ad.2026.104743
  17. Consensus recommendations for optimal trial design and reporting of core domains in urate-lowering therapy trials for gout: A Delphi study. Seminars in arthritis and rheumatism, 2026 — PMID 42785113 · DOI 10.1016/j.semarthrit.2026.153079
  18. Real-World Treatment Response to Adalimumab and Secukinumab in Chinese Adults with Hidradenitis Suppurativa: A Retrospective Cohort Study. Dermatology (Basel, Switzerland), 2026 — PMID 42758664 · DOI 10.1159/drm/ackag020
  19. Beyond the Skin: Ocular Manifestations in Hidradenitis Suppurativa - A Systematic Review. Ocular immunology and inflammation, 2026 — PMID 42758116 · DOI 10.1080/09273948.2026.2736180
  20. Dietary Modulation of microRNAs as a Potential Nutritional Strategy in Inflammatory and Autoimmune Skin Diseases: A Narrative Review. Cells, 2026 — PMID 42782741 · DOI 10.3390/cells15181640 · PMCID PMC13605420
  21. Emerging Topical Therapies and Skin Care Management for Hidradenitis Suppurativa. Skin therapy letter, 2026 — PMID 42805594
  22. Presentations of Cutaneous Disease in Various Skin Pigmentations: Hidradenitis Suppurativa. HCA healthcare journal of medicine, 2026 — PMID 42751462 · DOI 10.36518/2689-0216.2330 · PMCID PMC13581336