DIAGNOSIS
Hidradenitis suppurativa is a difficult condition to diagnose and treat. The issue is often misdiagnosed as ingrown hair, infection, or other ailments. Your doctor’s diagnosis will be based on your symptoms and signs, skin appearance, and medical records. If there is drainage or pus, your doctor may take a sample for examination in a lab.
TREATMENT
Surgery, medications, or a combination of the two may help manage symptoms and prevent problems from hidradenitis suppurativa. Discuss the risks and advantages of the treatment choices with your doctor, as well as how to develop a plan that is unique to you.
Expect to see your dermatologist regularly. A multidisciplinary health care team may be required for certain persons who need comprehensive treatment.
Surgery
Combining surgical and medical treatments may help with hidradenitis suppurativa treatment. Surgery is an essential part of illness management when a bump (abscess) and tunnel are present. The best surgical method for you is determined by the degree and severity of your disease. Discuss the risks and advantages of the following choices with your doctor:
- Punch debridement
- Surgical removal
- Uncovering the tunnels
- Laser therapy
- Drainage and incision
Medications
The following are the medications you may take that suggested by your doctor:
- Steroid injections
- Biologics
- Pain medication
- Antibiotics used on the skin
- Hormonal therapy
- Retinoids