In the beginning stage of HS, it may be difficult to be diagnosed. It is not a well-known condition, so most Primary Care Physicians will refer these patients to a Dermatologist, who specialize in treatment of inflammation of the skin. Doctors may prescribe antibiotics to rid of the inflammation of the abscesses. During the later stages of HS, Doctors may suggest for a patient to undergo minor surgeries which consist of incising and draining the pus-filled abscesses, and sometimes even corticosteroid injections to help alleviate the pain. Some patients also undergo procedures to remove portions of the sweat glands to slow the excretion of these fluids.
There is no cure for HS, however there are things that may be done to help maintain and provide comfort to patients that are living with this chronic condition.
Besides the pain, patients are forced to live with the discomforts of fluids excreting from their abscesses regularly. This causes clothing and bed sheets to ruin and also gives off an unpleasant odor. Collagen Matrix Dressings with Silver wound dressings are used for the closure of multiple types of wet wounds. They are made up of:
The first FDA-approved treatment for Hidradenitits Suppurativa is Adalimumab. This medicine is typically prescribed to patients with moderate to severe HS (Hurley Stages II and III). It has shown in studies that patients who tried this medication have experienced fewer breakouts of abscesses and nodules.
Antibiotics such as clindamycin or doxycycline.
Methotrexate is a cancer treating medication that has been used in patients with severe Hidradenitis Suppurativa (Hurley Stage III) , as well as patients with extreme cases of psoriasis and rheumatoid arthritis. This drug is an immunosuppressant therapy that is typically used as a primary source of treatment in patients of HS and is not used in conjunction with biologics, such as adalimumab. This type of therapy has the potential to reduce the inflammatory phases of HS.
The diabetic drug Metformin has been known to help patients with HS.
Hormone therapy, such as birth control (spironolactone), can help to reduce pain associated with the abscesses and nodules and may help to minimize drainage from the abscesses.
Corticosteroid pills and injections have been known to help alleviate pain associated with HS. The pill form helps to rid of inflammation, which typically causes more breakouts to occur. Injections can be administered into cysts to help the swelling go down as well.