Medical Treatments of Hidradenitis Suppurativa: More Options, Less Evidence

Hidradenitis suppurativa is a common debilitating skin disease that has been neglected by science. There is a need for effective treatment. We are still at the beginning of improving care for these patients as demonstrated by the low levels of evidence. The following treatments have a category of evidence of Ill and a strength of recommendation of C. Acitretin, metformin and zinc gluconate. The following treatments have a category of evidence of IV and a strength of recommendation of D. Ustekinumab, steroids (intralesional/systemic), dapsone, cyclosporine, hormones, pain control and dressings, Isotretinoin, alitretinoin, resorcinol, gamma-globulin, colchicine, botulinum toxin, tacorlimusand fumarates.