Hidradenitis suppurativa
Last Updated: 2021-10-18
Author(s): Anzengruber F., Navarini A.
ICD11: ED92.0
Last Updated: 2021-10-18
Author(s): Anzengruber F., Navarini A.
ICD11: ED92.0
Verneuil 1854, Plewig & Steger 1989
Acne inversa, Verneuil's disease
Chronic recurrent inflammation of the hair follicles (terminal hairs) in the intertriginous areas with comedo, abscess, fistula and scarring formation. It is not a primary sweat gland inflammation.
Hurley grade | Abscesses | Scarring strands | Flatulent infestation |
I | + | - | - |
II | + | + | - |
III | + | + | + |
Hurley Score:
Axillary, inguinal, perianal, perineal, scrotum, submammary, retroauricular.
Chronic, recurrent disease. Reduction of obesity and cessation of nicotine abuse can lead to significant improvement and healing in some patients (this has already been observed several times). However, this is hardly to be expected in those forms that occur without the prior presence of the risk factors.
Topical therapy (only sufficient for grade I and mildly pronounced grade II):
Systemic therapy
Other off-label therapies
Isotretinoin is NOT indicated except in acne triad/tetrade!
Surgical excision
Laser
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