Munson Health
Hidradenitis Suppurativa

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by Polsdorfer R

(Acne Conglobata; Acne Inversa [AI]; Apocrine Acne; Apocrinitis; Fox-Den Disease; HS; Hydradenitis Suppurativa; Pyodermia Significa Fistulans; Velpeau's Disease; Verneuil's Disease)



Talk with your doctor about the best treatment plan for you. Options may include one or more of the following:


Your doctor may prescribe one or more therapies depending on the severity of your HS.
Your doctor may recommend oral or topical antibiotics.
Corticosteroids and Other Immunosuppresants
Corticosteroids may help improve symptoms. These can be taken by mouth, applied to the skin, or injected into the area.
Other medications called biologics, which decrease the bodies immune response, may be used in severe cases. These medications have many risks, so your doctor will carefully weigh the risks and benefits of using these.
Other Medications
Hormonal medications, such as oral contraceptives can used in some cases. At other times, medications called retinoids may be used.


Small lesions can be treated in the doctor's office. The sores may be cut open and allowed to drain. If your condition is severe, then a wide area may need to be removed. In these cases, a skin graft may be needed.
Other procedure options include:
  • Laser surgery—uses lasers to remove lesions
  • Cryosurgery—uses cold to freeze lesions


American Academy of Dermatology

Hidradenitis Suppurativa Foundation



Canadian Dermatology Association



Fardet L, Dupuy A, Kerob D, et al. Infliximab for severe hidradenitis suppurativa: transient clinical efficacy in seven consecutive patients. J Am Acad Dermatol. 2007;56:624-628.

Hidradenitis suppurativa. EBSCO DynaMed website. Available at: Updated April 26, 2013. Accessed May 22, 2014.

Hidradenitis suppurativa. National Organization of Rare Diseases website. Available at: Updated September 14, 2012. Accessed May 22, 2014.

Lam J, Krakowski AC, Friedlander SF. Hidradenitis suppurativa (acne inversa): management of a recalcitrant disease. Pediatr Dermatol. 2007;24(5):465-473.

Shah N. Hidradenitis suppurativa: a treatment challenge. Am Fam Physician. 2005;72(8):1547-1552.


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