Dermatol. praxi. 2017;11(4):170-172 | DOI: 10.36290/der.2017.033
Treatment of hidradenitis suppurativa
- I. dermatovenerologická klinika FN u sv. Anny a LF MU v Brně
Hidradenitis suppurativa (HS) is a chronic recurrent inflammatory disease characterized by deep painful nodules, abscesses,sinus tracts and scarring. The most common areas affected are the axillae, the groin, the buttocks, the anogenital and perinealregion, inframammary areas. Its pathogenesis is multifactorial and includes genetic aspects, immune dysregulation, smokingand obesity. The treatment of HS depends on the severity of the disease (according to Hurley classification) and on its activity(according to Physician´s Global Assessment). First-line treatment includes topical clindamycin, oral doxycyclin or oral clindamycinand adalimumab. Surgical treatment includes deroofing, incision of inflammatory lesions, reconstruction with flap plasty, carbondioxide laser therapy, Nd:YAG laser, total excision of the lesions and surrounding hair-bearing skin and second intention healing.
Keywords: hidradenitis suppurativa, treatment, adalimumab
Published: November 1, 2017 Show citation
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