Individualized management of hidradenitis suppurativa from the perspective of severity|Guideline consensus

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Hidradenitis suppurativa (HS) is a chronic inflammatory skin disease characterized by Pimples, pimples, nodules in the lower, groin and buttocks areas strong>, abscess, and sinus. HS is more common in adolescents and young adults and is more common in women. The pathogenesis of HS is impaired pilosebaceous-apocrine unit function, resulting in hyperkeratosis, occlusion, dilation and rupture of hair follicles, which activate local immune responses and lead to the formation of inflammatory lesions. On August 24, J Cutan Med Surg published a practical guideline for the management of patients with HS, which aims to provide a practical approach to the diagnosis and management of HS and its associated comorbidities.

HS Severity Assessment

The severity of HS is commonly assessed using the Hurley staging system (Table 1).

Table 1 Hurley staging system for hidradenitis suppurativa

HS treatment process

Treatment of HS requires an optimized drug regimen based on the severity of the disease. Although topical therapy may be effective in mild disease, or as adjuvant therapy in more severe disease, systemic therapy is often required in patients with moderate-to-severe HS >. In mild cases that do not respond to topical therapy, patients should be offered systemic drugs. Recommended treatments for specific stages of HS management are shown in Figure 1.

Figure 1 HS management method at a specific stage

HS Diagnosis and Management

Collaborations with other medical disciplines, including gastroenterology, endocrinology, rheumatology, plastic surgery, and psychiatry, Providing high-quality care to patients with HS is critical. Effective management of HS also requires lifestyle changes, such as smoking cessation, diet adjustment, etc., and wound care for patients > and Pain Management. Inform patients that a variety of lifestyle, drug and surgical interventions may be required to achieve disease control, and implement a individualized treatment plan. Recommended electronic medical record templates, including history collection, initial assessment, and management methods for HS are detailed in Table 2.

Table 2 Example of an electronic medical record template for the first visit of a patient with HS