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Recognition, diagnosis, and treatment of hidradenitis suppurativa

Duran, Caitlyn; Baumeister, Angela PA-C

Journal of the American Academy of PAs: October 2019 - Volume 32 - Issue 10 - p 36–42
doi: 10.1097/01.JAA.0000578768.62051.13
Review Article

ABSTRACT Hidradenitis suppurativa is a chronic skin condition characterized by recurrent painful abscesses usually limited to the intertriginous areas. Global prevalence has been estimated at up to 4% of the population. The exact pathogenesis of hidradenitis suppurativa is yet to be elucidated; however, recent research has shown that the disease occurs under the influence of multiple genetic, environmental, and lifestyle factors. Repeated insults result in sinus tract formation and disfigurement, which can have a significant psychosocial effect on patients. A wide range of treatments are available but none are curative. A combination antibiotic regimen is considered first line, and research into the use of biologics has been promising. Early recognition and treatment is paramount to achieving a better prognosis and improving patient quality of life.

At the University of St. Francis in Albuquerque, N.M., Angela Baumeister is a clinical coordinator and instructor and Caitlyn Duran is a student in the PA program. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2019 American Academy of Physician Assistants
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