WHAT ARE THE TREATMENTS FOR SUPPURATIVA HYDRADENITIS?

* Be aware that the recommended treatments of illnesses are always being improved. This website was last update on 11/1/2024. The best treatment option MIGHT have changed since that time.

The treatment for mild Suppurativa Hydradenitis mild case.

1. Cortisone injection {RX} into an effected area. (Triamcinolone acetonide) *

2. Antibiotics (oral)
A. Tetracycline * {RX}
B. Doxycycline * {RX}
C. Minocycline * {RX}
D. Metronidazole * {RX}
E. Moxifloxacin * {RX}
F. Clindamycin * {RX}
G. Rifampin * {RX}

3. Creams
A. Clindamycin Cream {RX}
B. Resorcinol 15% Creams (This product may be difficult to find)
C. Benzoyl Peroxide {OTC} skin wash

For people with a moderate case of Hidradenitis Suppurative

A. Oral antibiotics As Above for a period of 2 to 3 months
B. For women: drugs that block the effects of male sex hormones, such as oral contraceptives, Spironolactone {RX}, or Finasteride {RX}.
C. Incision and drainage of Abscess

For people with a severe case of Hidradenitis Suppurative.
A. A doctor gives Infliximab {RX} (by intravenous injection)
B. Adalimumab {RX} (by skin injection) to reduce inflammation.
C. Isotretinoin {RX} or Acitretin {RX} (by mouth), taken for several months, may reduce inflammation.
D. Skin graft.
E. Laser treatment to remove the damaged skin or hair may also be done.

CAUTION:

1. All medication, including medication used for premature ejaculation, have a risk of side effects.

2. Possible Severe side effects are a severe skin rash, an anaphylactic allergic reaction (leading to the inability to breathe and subsequent death if not treated rapidly), and Clostridioides difficile infection (C. Diff.) of the colon.

3. Medications such as creams, lotions, and gels should be tested in small dosages in areas of the body that are not easily seen.

Consult “Epocrates.com” for each Specific Medication’s possible “Adverse Reactions.” Side effects are also referred to as “Adverse Reactions.” Epocrates.com will tell you both “common reactions” and “serious reactions.” You will have to create an account, but it is simple, fast, and free.

WHAT ARE THE SYMPTOMS OF SUPPURATIVA HYDRADENITIS?

The most common symptoms of Suppurativa Hydradenitis are large pustular pimple(s) in the armpit. But, a large pustular pimple (also called an abscess) of this type can also be formed in the groin skin fold, and in the area of the genitals and the anus. Often there are several abscesses occurring at the same time.

WHAT ARE THE CAUSES OF SUPURATIVA HYDRADENITIS?

There are many different bacteria that cause Suppurativa Hydradenitis. Staphylococcus Aureus is one of the most common species of the human skin flora, occurring in approximately 25% of Suppurative Hydradenitis abscesses. Other Staphylococcus bacteria also play a part in these infections. Other Staphylococcus bacteria are Staphylococcus Epidermidis, S. hominis, S. lugdunensis, S. simulans, S. Capitis, S. Auricularis and S. Haemolyticus. Other bacteria that cause these abscesses are caused by Streptococcal bacteria. These include B-hemolytic Streptococci Streptococcus Agalactiae, Streptococcus Dysgalactiae, and Streptococcus group G). Other bacteria that cause these abscesses are Enterococcus Faecalis, Proteus mirabilis, Eserichia coli, Klebsiella Pneumoniae, Moxarella Morganii, Serratia Marcescens, Enterodbacter Cloacae, and Citrobacter Koseri. Still other bacteria have been found to be the causative bacteria in other cases. These include Prevotella Bivia, P. Disiens, P. Intermedia, P. Melaninogenica, P. Oralis, Bacteroides Ovatus, B. Fragilis, B. Thetaiotaomicron, and Fusobacterium Varium.
(www.medicaljournoals.se)

HOW IS SUPPURATIVA HYDRADENTITIS DIAGNOSED?

Suppurativa Hydradenitis can be diagnosed by a careful history and visual inspection of the skin.