Hidradenitis Suppuritiva



Location

  • ♂ : Axillae, groin and buttocks
  • ♀ : Axillae, groin, breast

Hurley staging

Stage 1

Single or multiple abscesses:

Hydradenitis, mild, early

Lifestyle management (quit smoking and wt loss)

Start 3 months oral tetracyclines

If failed 3/12 tetracyclines, refer dermatology

Stage2

Recurrent abscesses, sinus tract formation.

Hydradenitis moderate

Refer to dermatology

Start PO tetracyclines if not already completed.

Lifestyle Mx as stage 1.

Stage 3

Diffuse, interconnected tracts and abscesses

Hydradenitis late scarring

Refer to dermatology

Refer surgery as required

Lifetsyle Mx as above.


Management



Content by Dr Michelle Murphy, Dr Lesley Anne Murphy, Ms Norma Relihan, Dr Mairead O’Riordan & Dr Nikki Murphy. Supported by AbbVie, Dr Íomhar O' Sullivan 28/10/2016. Last review Dr ÍOS 13/03/25.