Information on Managing Hidradenitis Suppurativa: Your Comprehensive Guide to Treatment Choices
Hidradenitis Suppurativa (HS) is a chronic skin condition that can cause significant discomfort and emotional distress. This article aims to provide an overview of the various treatment options and management strategies for HS, as well as some lifestyle factors that may impact the condition.
Diagnosis of HS typically requires consultation with a dermatologist. The condition is characterised by breakouts that resemble pimples or boils, often appearing on areas such as armpits, under breasts, genitals, lower abs, inner thighs, and around the anus, although they can appear anywhere on the body.
For pain management, wearing loose clothing and using personal care products designed for sensitive skin can be beneficial. Dermatologists often recommend topical treatments like povidone iodine, chlorhexidine, clindamycin, hydrogen peroxide, triclosan, azelaic acid, retinoids, and antibiotics for managing HS.
In terms of medication, your doctor may prescribe oral antibiotics like clindamycin, rifampin, or metronidazole, or hormonal medications to help manage the condition. The most well-known biologic recommended for treating HS is adalimumab, a TNF-alpha inhibitor approved for this use in 2015. Recent advances include the JAK1-selective inhibitor povorcitinib, currently in phase-3 clinical trials.
Your doctor might also consider off-label use of other biologics, and may prescribe acitretin, an oral retinoid, to help with skin growth in HS. However, injectable corticosteroids, while useful in stubborn lesions, should be used with caution due to potential long-term worsening of HS and side effects.
Lifestyle factors can also play a role in managing HS. A 2015 research review recommended eliminating dairy and sticking to a low glycemic diet, while a small study suggested that a Mediterranean diet may help reduce symptoms. Quitting or reducing tobacco use is strongly associated with improved HS management.
Emotional distress is a common symptom of HS, with 24% of cases leading to symptoms of depression and anxiety. Dermatologists recommend treating the underlying condition as the best solution for pain management, but home treatments like ice packs, lidocaine, and over-the-counter pain medications can also provide relief. Some stronger pain medications and acupuncture may also help with HS pain.
Surgical options for advanced HS cases include incision and draining of abscesses, deroofing, and wide excision. However, dermatologists often recommend nonsurgical options before any surgical procedures.
In conclusion, managing Hidradenitis Suppurativa involves a combination of medical treatments, lifestyle modifications, and pain management strategies. It is crucial to consult with a dermatologist for proper diagnosis and treatment.
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