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Hidradenitis Suppurativa

Jeremy Golding, MD, FAAFP Reviewed 06/2018
 


BASICS

DESCRIPTION

  • Chronic follicular occlusive disease manifested as recurrent inflammatory nodules, abscesses, sinus tracts, and complex scar formation

  • Lesions are tender, malodorous, often with exuda...

DIAGNOSIS

HISTORY

  • Diagnostic criteria adopted by the 2nd International Conference on Hidradenitis Suppurativa, 2009 (2)[C]

  • All three criteria (morphology, location, progression) must be present for diag...

TREATMENT

Despite the prevalence of this condition, most trials has been small and underpowered. Evidence is therefore generally of poor quality (3)[A]. Treatment goals: Reduce extent of disease, prev...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Follow-up monthly or sooner to evaluate progress and to assist with symptom management 

DIET

  • Avoid dairy, high glycemic loads.

  • Healthy diet that promotes weight loss...

REFERENCES

1
Saunte D, Jemec G. Hidradenitis suppurativa: advances in diagnosis and treatment. JAMA.  2017;318(20):2019–2032. [View Abstract on OvidMedline]
2
Hidradenitis Suppurativa Foundation: h...

ADDITIONAL READING

  • Alikhan A, Lynch PJ, Eisen DB. Hidradenitis suppurativa: a comprehensive review. J Am Acad Dermatol.  2009;60(4):539–563. [View Abstract on OvidMedline]

  • Blok JL, van Hattem S, ...

CODES

ICD10

L73.2 Hidradenitis suppurativa 

ICD9

705.83 Hidradenitis 

SNOMED

  • 59393003 hidradenitis suppurativa (disorder)

  • 402826001 axillary hidradenitis suppurativa (disorder)

  • 402827005 anogenital hidradeni...

CLINICAL PEARLS

  • Chronic inflammatory disease of the skin, often difficult to control with behavior changes and medication alone

  • First-line treatment for mild disease is topical and/or systemic antibiot...

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