Course: IDCP2022-M14: HS
M14: HS
Raja Sivamani, MD MS AP +2

Welcome to module 14 as we tackle one of the most challenging disease states in dermatology, HS!

Pathogenesis of Hidradenitis Suppurativa

This course will cover the pathogenesis of hidradenitis suppurativa.
 
After completing this activity, participants will be able to:
  1. Describe the importance of treating HS
  2. Review the mechanisms that contribute to the development of HS
  3. Identify three lifestyle factors that contribute to HS

HS Therapeutic Updates

Guest faculty Vivian Shi, MD walks through the stages of HS and recent therapeutic updates.
 
After completing this activity, participants will be able to:
  1. Recall the epidemiology and pathogenesis of HS
  2. Compare scoring systems for HS
  3. Analyze emerging therapies for HS

Diet and Foods

This activity will review the current understanding and evidence for how food and diet may modulate hidradenitis suppurativa.
 
After completing this activity, participants will be able to:
  1. Evaluate the evidence for the role of foods in hidradenitis suppurativa
  2. Review the role of dietary interventions for modulation of hidradenitis suppurativa co-morbidities
  3. Identify the role of anti-Saccharomyces cerevisiae antigen in identifying food sensitivities in hidradenitis suppurativa

Botanicals and Supplements for Hidradenitis Suppurativa

This session will introduce topical botanicals and oral supplements that can be helpful in managing HS.
 
After completing this activity, participants will be able to:
  1. List 6 oral supplements to recommend to people with HS
  2. Identify 3 topical botanicals to suggest for people with HS
  3. List 2 types of tea that may be helpful for people with HS

HS Practical Integration with Pharmaceuticals

This lecture synthesizes the different perspectives for treating hidradenitis suppurativa. By utilizing the integrative toolkit, we bridge multiple approaches like pharmaceuticals with nutrition with lifestyle with devices to take an integrative approach.

Additional Resource Sponsored by Novartis:

Disease State and Unmet Needs in Hidradenitis Suppurativa

This session discusses what hidradenitis suppurativa is and the impact it has on patients. The pathophysiology of HS is reviewed along with other potential differential diagnoses. Engage in an interactive case scenario handout where you can test your knowledge on HS diseaseta stes and disease management. 
 
After completing this activity, participants will be able to:
  1. Review differential diagnosis and pathophysiology of hidradenitis suppurativa 
  2. Discuss hidradenitis disease severity and evolution
  3. Recall the different stages and severity grading of hidradenitis suppurativa 
  4. Discuss the burdens and impact hidradenitis suppurativa has on patients

Faculty

User: Raja Sivamani
Raja Sivamani
MD MS AP

Dr. Raja Sivamani is a board-certified dermatologist and practices as an integrative dermatologist at Pacific Skin Institute. He is an Adjunct Associate Professor of Clinical Dermatology at the University of California, Davis and Director of Clinical Research and the Clinical Trials Unit.He is also an Adjunct Assistant Professor in the Department of Biological Sciences at the California State University, Sacramento and an Associate Professor of Dermatology at California Northstate University, College of Medicine.He engages in clinical practice as well as both clinical and translational research that integrates bioengineering, nutrition, cosmetics, and skin biology. With training in both Allopathic and Ayurvedic medicine, he takes an integrative approach to his patients and in his research.He has published over 100 peer-reviewed research manuscripts, 10 textbook chapters, and a textbook entitled Cosmeceuticals and Active Cosmetics, 3rd Edition with a passion for expanding the evidence and boundaries of integrative medicine for skin care.

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User: Apple Bodemer
Apple Bodemer
MD

After finishing Medical School and Dermatology Residency at the University of Wisconsin, Dr. Bodemer completed a fellowship in Integrative Medicine at the University of Arizona. She was the first Dermatologist to be board certified in both Dermatology and Integrative Medicine and currently is the only Dermatologist to serve on the Integrative Medicine Board. She has authored academic texts and curriculum and has spoken widely on a variety of topics related to Integrative Dermatology. She has always been drawn to exploring how lifestyle choices impact skin health and disease and feels that the most powerful role a physician can play is as an educator and guide, empowering people to get healthy and stay healthy.

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User: Vivian Shi
Vivian Shi
MD

Dr. Vivian Shi, MD is an Associate Professor of the Department of Dermatology at the University of Arkansas for Medical Sciences (UAMS), where she directs the Eczema Clinic and Hidradenitis Suppurativa Clinic.

Dr. Shi received her undergraduate degree in physiological sciences from UCLA, and
subsequently spent a year performing research on gene regulation in pathogenic bacteria in the department of microbiology at UCLA. She learned her medical degree from the University of Illinois at Chicago. During that time, she also completed a fellowship in the Skin Immunology Laboratory. She was an integral part of the team characterizing the pathophysiology of atopic dermatitis. She then completed her internship in Internal Medicine at the University of Chicago – NorthShore Health System, followed by a dermatology residency at the University of California, Davis, where she also served as chief resident.

Dr. Shi’s research and clinical interests are in complex inflammatory skin conditions (such atopic dermatitis, hidradenitis suppurativa, and psoriasis), skin barrier repair, transepidermal drug delivery, and integrative dermatology. She has served as the principal investigator for numerous industry-sponsored and investigator-initiated clinical and translational studies. She has published over 150 peer-reviewed articles and is the editor for two reference dermatology textbooks on atopic dermatitis and hidradenitis suppurativa. She is on the Board of Directors for the Hidradenitis Suppurativa Foundation, advisory board of the National Eczema Association, and is a member of the International Eczema Council.

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