Hidradenitis Suppurativa Treatment

Dr. Thomas P. Habif, MD discusses Hidradenitis Suppurativa Treatment. See more at http://www.dermnet.com PLEASE RATE AND COMMENT!!!
Management



Hidradenitis is an ongoing and difficult management problem.



Antiperspirants, shaving, chemical depilatories, and talcum powder are probably not responsible for the initiation of the disease. Cigarette smoking may be a major triggering factor. Smoking cessation should be encouraged.




Tretinoin cream (0.05%) may prevent duct occlusion, but it is irritating and must be used only as tolerated. Large cysts should be incised and drained. Smaller cysts respond to intralesional injections of triamcinolone acetonide (Kenalog, 2.5 to 10 mg/ml). Weight loss helps to reduce activity. Many patients will not comply with the suggestion to reduce.



Actively discharging lesions should be cultured. Repeated bacteriologic assessment is advisable in all cases. Oral contraceptives do not seem to work as well as they do with acne.



Antibiotics

Antibiotics are the mainstay of treatment, especially for the early stages of the disease. Long-term oral antibiotics such as tetracycline (500 mg bid), erythromycin (500 mg bid), doxycycline (100 mg bid) or minocycline (100 mg bid) may prevent disease activation. Lower doses may effective for maintenance once control is established. Topical clindamycin may also be effective



Isotretinoin

Isotretinoin (1 mg/kg/day for 20 weeks) may be effective in selected cases. The response is variable and unpredictable and complete suppression or prolonged remission is uncommon. Early cases with only inflammatory cystic lesions in which undermining sinus tracts have not developed have the best chance of being controlled. Severe cases have also responded.




Surgery

Surgical excision is at times the only solution. Residual lesions, particularly indolent sinus tracts, are a source of recurrent inflammation. Local excision is often followed by recurrence.




Early radical excision of sinus tracts is the operative treatment of choice. The method of reconstruction whether it is wide excision of affected skin, and healing by granulation or applying split skin grafts or transposed or pedicle flaps has no influence on recurrence and should be chosen with respect to the size and location of the excised area.

Category:

Education

Tags:

• Hidradenitis
• Suppurativa
• Treatment
• Cure

[dejan160]

I have overcome a very severe case of HS, and this is a great video. The thing is that accutane makes HS worse and acitretine is a great drug for HS. I guess the doctor is not very experienced in treating HS.

[beachfeet1000]

@sahaljs this is not a helpful video at all. This is useless, pointless information. This will help NO ONE

[beachfeet1000]

FUCK YOU Dr. Thomas P. Habif

[TheSequa3l]

i have h.s and i took a trial at henry ford and mine was very severe i had it every were every crevse of the body and clendemyacine and ramphafine i know i didnt spell those right helped sooooooooooooo much and it ruduced swelling openings and stuff like that thought that might help someone :-)

[acr099]

im saying like sex sets it off and the triggers a hormon inbalance is it like a trigger for this disease.. dumbo.. i have the disease not an std ....if u have this then u might be able to relate to the simptoms .

[ku33nb33z]

@acr099 it is not an std honey what you have from sex is either genital warts or herpes i'm not trying to offend you but this is a gene disease

[acr099]

i blame sex for real i got it after lots of sex

[acr099]

use aleo vera till they are gone then periodiclly after to keep it stabalized it the only dam thing working for me if u get exzama gt a cream for it clean ur diet u linda know what triggers ... heat ..no deodorant people ...ect ect ....anyways gl and god bless

[acr099]

use aleo vera till they are gone then periodiclly after to keep it stabalized it the only dam thing working for me if u get exzama gt a cream for it clean ur diet u know what triggers it milk chease soda white bread crackers heat ..no deodorant people ect ect ....anyways gl and god bless

[LivingWithHydraSup]

thank you for your video, its good to know that somebody out there actually cares and is researching