A Comparison of Hidradenitis Suppurativa Characteristics among Israeli Arabs and Jews: Analysis of Two Cohorts

Jen Barak Levitt, Shira Barmatz, Shira Fisch-Gilad, Yossef H. Taieb, Adam Dalai, Khashayar Afshari, Nazgol Haddadi, Dana Tzur Bitan, Arnon Dov Cohen, Daniel Mimouni, Emmilia Hodak, Shany Sherman

Research output: Contribution to journalArticlepeer-review


chronic inflammatory skin disease involving apocrine gland-bearing regions. There is an under-representation of non-Caucasians in epidemiologic studies of HS. The characteristics of HS in Israeli Arabs have not yet been studied. Objectives: To investigate the demographic and clinical profile of HS in the Israeli Arab population. Methods: A retrospective analysis was conducted in two cohorts of patients with HS in Israel. The patients were derived from the database of a large health management organization (n=4191, 639 Arabs; population-based) and a major tertiary medical center (n=372, 49 Arabs). Demographic and clinical data were compared between ethnic groups. Results: The prevalence of HS in Israeli Arabs was found to be 0.5%, fivefold higher than in Jews. Arab patients were younger (35.3 vs. AO.5 years, P < 0.001) and mostly male (52% vs. 35.7%, P < 0.001), with lower rates of co-morbidities, including smoking (40.8% vs. 55.7%, P < 0.001), hyperlipidemia, and depression as well as a higher rate of dissecting cellulitis (10.2% vs. 1.9%, P = 0.008). HS was more severe in Arabs, but of shorter duration, with mainly axillary involvement (79.6% vs. 57.9%, P = 0.004). Treatment with hormones was more common in Jews, and with biologic agents in Arabs. Conclusions: The findings suggest a different phenotype of HS in Arabs, warranting further study.

Original languageEnglish
Pages (from-to)283-288
Number of pages6
JournalIsrael Medical Association Journal
Issue number5
StatePublished - May 2024


  • Arab patients
  • Jewish patients
  • endotype
  • hidradenitis suppurativa (HS)
  • phenotype


Dive into the research topics of 'A Comparison of Hidradenitis Suppurativa Characteristics among Israeli Arabs and Jews: Analysis of Two Cohorts'. Together they form a unique fingerprint.

Cite this