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