By Disease Name > Hidradenitis Suppurativa

Hidradenitis Suppurativa

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•=misnomer
•because involvement of apocrine (as well as of eccrine glands) represents a secondary phenomenon and is the result of extension of the inflammatory process into deep structures
•double (open) comedone is characteristic
•usually undergoes a spontaneous remission with age (over 35)
•ddx: sinus tracts and fistulae associated with ulcerative colitis

 

Treatment:

•intralesional triamcinolone (3 to 5 mg/mL)
•finasteride 5mg/day
•(Ken Greer, MD) tetracycline 1.5 to 2g/day (divided BID to QID)
•pearl - metformin

 

see Follicular Disease