How Is Hidradenitis Suppurativa Treated?

Treatment for HS depends on the stage and severity of the condition. Here are the main approaches:

1. Lifestyle Measures

Keeping the area clean and dry
Wearing loose-fitting clothing
Weight loss in overweight individuals
Stopping smoking, which can worsen HS

2. Medications

Antibiotics: Medicines like tetracyclines or erythromycin are commonly used to reduce infection and inflammation. These may be needed for several weeks.
Isotretinoin: In some cases, this medicine (often used for severe acne) is prescribed to reduce blocked hair follicles.
Hormonal therapy: Birth control pills or hormone-regulating medicines may help in women, depending on individual hormone levels.

What About Laser or Cell-Based Therapies?

Laser treatments are newer options that may help in selected cases:

Nd:YAG laser can be used to reduce hair growth in affected areas, which may lower the risk of new lumps forming.
CO₂ laser can be used surgically to remove the damaged skin tissue.

Results from these treatments vary, and they are usually considered when other options don’t work.

When Is Surgery Needed for HS?

Surgery is recommended in cases where other treatments have not worked or when the disease is advanced. Surgical options include:

Curettage: Scraping out the affected tissue
Sinus tract removal: Opening or removing tunnels under the skin
Wide excision: In severe cases, the entire affected area is removed, and the skin may be replaced with a skin graft

Early diagnosis and treatment can help manage symptoms, reduce flare-ups, and prevent long-term damage. Always consult a dermatologist to discuss the best treatment plan for your case.