Location
♂ : Axillae, groin and buttocks.
♀ : Axillae, groin, breast.
Hurley staging
Stage 1
Single or multiple abscesses
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.
Refer to dermatology
Start PO tetracyclines if not already completed.
Lifestyle Mx as stage 1.
Stage 3
Diffuse, interconnected tracts and abscesses
Refer to dermatology Refer surgery as required Lifetsyle Mx as above.
Management
- Lifestyle changes (stop smoking, ↓wt)
- Doxycycline po x 3 months
- Surgery