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Revuz J – Hidradenitis suppurativa is a chronic disease characterized by recurrent, painful, deep–seated, rounded nodules and abscesses of apocrine gland–bearing skin. Treatment depends upon the stage of the disease. Early nodular lesions may be treated by antibiotics for acute stage; long–term antibiotics, zinc salts may be useful as maintenance treatment; anti–TNF drugs have been used in severe cases; systemic steroids, estrogens, anti–androgens, retinoids have been used as options with limited success. Surgical treatment includes incision with or without drainage for limited abscesses; limited excisions are used for locally recurring draining sinuses. Total wide excision and healing with secondary intention or flaps and grafts is the only curative procedure in case of advanced disease.

 

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