Hidradenitis Suppurativa

Kelsey R Henry, MD and Donna R Potts, MD Reviewed 05/2023

BASICS

DESCRIPTION

Chronic inflammatory skin disease manifested as recurrent inflammatory nodules, abscesses, sinus tracts, and complex scar formation
Areas affected are tender, malodorous, often with e...

DIAGNOSIS

HISTORY

Diagnostic criteria adopted by the 2nd International Conference on Hidradenitis Suppurativa, 2009
All three criteria (morphology, location, progression) must be present for diagnosis:
- T...

TREATMENT

Despite the prevalence of this condition, most trials have been small and underpowered. Evidence is therefore generally of poor quality . Treatment goals: Reduce extent of disease, prevent n...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

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

DIET

Avoid dairy and high glycemic loads.
Healthy diet that promotes weight ...

REFERENCES

Seyed Jafari SM, Hunger RE, Schlapbach C. Hidradenitis Suppurativa: Current Understanding of Pathogenic Mechanisms and Suggestion for Treatment Algorithm. Front Med (Lausanne). 2020;7:68.

...

ADDITIONAL READING

Jemec GB. Clinical practice. Hidradenitis suppurativa. N Engl J Med. 2012;366(2):158–164. [View Abstract on OvidMedline] ...

CODES

ICD10

L73.2 Hidradenitis suppurativa

SNOMED

59393003 hidradenitis suppurativa (disorder)
402826001 axillary hidradenitis suppurativa (disorder)
402827005 anogenital hidradenitis suppurativa (disorde...

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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