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Hidradenitis Suppurativa

Rachel L. Storey, DO, Cody Homistek, DO and Christopher A. Zagar, MD, FAAFP Reviewed 06/2019
 


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 (2)

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

TREATMENT

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

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

1
Saunte D, Jemec G. Hidradenitis suppurativa: advances in diagnosis and treatment. JAMA.  2017;318(20):2019–2032. [View Abstract on OvidMedline]
2
Rambhatla PV, Lim HW, Hamzavi I. A syst...

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, J...

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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