Dr. Thomas P. Habif, MD discusses Hidradenitis Suppurativa Treatment. See more at www.dermnet.com PLEASE RATE AND COMMENT!!! Management Hidradenitis is an ongoing and difficult management problem. Antiperspirants, shaving, chemical depilatories, and talcum powder are probably not responsible for the initiation of the disease. Cigarette smoking may be a major triggering factor. Smoking cessation should be encouraged. Tretinoin cream (0.05%) may prevent duct occlusion, but it is irritating and must be used only as tolerated. Large cysts should be incised and drained. Smaller cysts respond to intralesional injections of triamcinolone acetonide (Kenalog, 2.5 to 10 mg Weight loss helps to reduce activity. Many patients will not comply with the suggestion to reduce. Actively discharging lesions should be cultured. Repeated bacteriologic assessment is advisable in all cases. Oral contraceptives do not seem to work as well as they do with acne. Antibiotics Antibiotics are the mainstay of treatment, especially for the early stages of the disease. Long-term oral antibiotics such as tetracycline (500 mg bid), erythromycin (500 mg bid), doxycycline (100 mg bid) or minocycline (100 mg bid) may prevent disease activation. Lower doses may effective for maintenance once control is established. Topical clindamycin may also be effective Isotretinoin Isotretinoin (1 mg/kg/day for 20 weeks) may be effective in selected cases. The response is variable and unpredictable and complete ... Video Rating: 5 / 5Smoking Cessation - Quit Smoking Today. Smoking Cessation helps smokers kick their nicotine addiction, providing tools, information and support for people quitting smoking.
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