Medical and Surgical Management of Hidradenitis Suppurativa: A Review of International Treatment Guidelines and Implementation in General Dermatology Practice

Lauren A V Orenstein, Tien V Nguyen, Giovanni Damiani, Christopher Sayed, Gregor B E Jemec, Iltefat Hamzavi

Publikation: Bidrag til tidsskriftReviewForskningpeer review

Abstrakt

BACKGROUND: Hidradenitis suppurativa (HS) is a chronic painful skin disease that severely impairs patients' quality of life. While high-quality trials of HS therapies remain limited, medical knowledge of best treatment practices is rapidly evolving, leading to the recent publication of multiple international treatment guidelines for HS.

SUMMARY: This review compares international HS treatment guidelines, describes evidence for effectiveness of common and emerging HS therapies, and provides guidance for integrating evidence-based HS care into practice. Although over 50 medical and procedural treatments are mentioned across international HS guidelines, only adalimumab and infliximab have grade B/weak recommendation or higher across all major guidelines. This review describes the appropriate patient selection and effectiveness of the most commonly used medical and procedural treatments for HS. It also includes recommendations for counseling, dosing, and duration of medical therapies as well as procedure videos for the practicing dermatologist.

OriginalsprogEngelsk
Sider (fra-til)393-412
Antal sider20
TidsskriftDermatology
Vol/bind236
Udgave nummer5
Tidlig onlinedato14 maj 2020
DOI
StatusUdgivet - 2020

Bibliografisk note

© 2020 S. Karger AG, Basel.

Fingeraftryk Udforsk hvilke forskningsemner 'Medical and Surgical Management of Hidradenitis Suppurativa: A Review of International Treatment Guidelines and Implementation in General Dermatology Practice' indeholder.

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