Abstract
BACKGROUND: Hidradenitis Suppurativa (HS) is a relatively common chronic inflammatory skin disorder. Early identification by primary healthcare (PHC) physicians plays a crucial role in preventing its adverse outcomes. OBJECTIVE: To assess the knowledge of primary healthcare physicians in the Western Region of Saudi Arabia regarding HS and identify the determinants influencing their knowledge level. METHODS: A cross-sectional study was conducted among randomly selected PHC physicians working in the cities of Jeddah, Makkah, and Taif. A valid and reliable self-administered online questionnaire was used for data collection. RESULTS: A total of 106 PHC physicians participated in the study, with ages ranging from 26 to 48 years. The majority (79.2%) were aware of HS. The most frequently reported source of information was a diagnosed patient (64.3%). Overall, 47.2% of participants demonstrated a good level of knowledge regarding HS. Female physicians (p = 0.043), those over 35 years of age (p = 0.001), family medicine consultants (p < 0.001), physicians with more than 10 years of clinical experience (p = 0.008), and those who had seen more than five dermatological cases per day (p = 0.019) were significantly more knowledgeable. Most participants assigned the responsibility for diagnosis, treatment, and follow-up of HS cases to dermatologists, followed by surgeons or PHC physicians. About one-third (33%) had previously diagnosed a case of HS. CONCLUSION: Although most PHC physicians in Western Saudi Arabia were aware of HS, less than half demonstrated a good level of knowledge, and only one-third had ever diagnosed a case. These findings highlight the need to implement targeted dermatology education programs for PHC physicians.