Cumulative Inflammation and HbA1c Levels Correlate with Increased Intima‐Media Thickness in Patients with Severe Hidradenitis Suppurativa Sánchez Diaz, Manuel Rodríguez Bolívar, Salvador Montero Vilchez, Trinidad Martínez López, Antonio Arias Santiago, Salvador Antonio Molina Leyva, Alejandro Hidradenitis suppurativa Cardiovascular risk Intima‐media thickness Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease that has been associated with a greater risk of metabolic and cardiovascular comorbidities. The aim of this study is to assess cardiovascular risk by means of intima‐media thickness (IMT), metabolic syndrome, and other potential biomarkers in patients with severe hidradenitis suppurativa who are candidates for biologic therapy and to explore potentially associated factors. A cross‐sectional study was performed. Body mass index (BMI), carotid intima‐media thickness (IMT), and blood tests, including glycemic and lipid profile, insulin, vitamin D, and inflammation markers were performed. Fifty patients were included in the study; the male/female ratio was 3:2. The mean age was 38 years, and the mean disease duration was 21.8 years. The mean carotid IMT was 651.39 μm. A positive association of IMT with disease duration, tobacco consumption, and HbA1c levels was observed. HbA1c correlated with the age of onset, hypertension, metabolic syndrome, and glucose levels. Vitamin D levels inversely correlated with the number of areas affected. In conclusion, patients with severe HS present a higher cardiovascular risk, but it is not distributed equally within the patients: Tobacco consumption, inadequate glycemic control, and disease duration could be useful clinical and biochemical markers to identify patients at higher risk. 2021-11-10T12:09:15Z 2021-11-10T12:09:15Z 2021 info:eu-repo/semantics/article Sanchez‐Díaz, M.; Salvador‐Rodríguez, L.; Montero Vilchez, T.; Martinez‐Lopez, A.; Arias‐Santiago, S.; Molina‐Leyva, A. Cumulative Inflammation and Hb1ac Levels Correlate with Increased Intima‐Media Thickness in Patients with Severe Hidradenitis Suppurativa. J. Clin. Med. 2021, 10, 5222. https://doi.org/10.3390/jcm10225222 http://hdl.handle.net/10481/71417 10.3390/jcm10225222 eng http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess Atribución 3.0 España MDPI