Swiss Practice Recommendations for the Management of Hidradenitis Suppurativa/Acne Inversa.

Hunger, Robert; Laffitte, Emanuel; Läuchli, Severin; Mainetti, Carlo; Mühlstädt, Michael; Schiller, Peter; Lapointe, Anne-Karine; Meschberger, Pascale; Navarini, Alexander A (2017). Swiss Practice Recommendations for the Management of Hidradenitis Suppurativa/Acne Inversa. Dermatology, 233(2-3), pp. 113-119. Karger 10.1159/000477459

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Hidradenitis suppurativa (HS) is a painful, inflammatory, debilitating skin disease with a chronic intermittent course. The central pathogenetic event seems to be the occlusion of the hair follicle. HS has a 1-year prevalence of about 1%. It typically presents after puberty with painful, deep-seated, inflamed lesions in the apocrine gland-bearing areas of the body: most commonly the axillae, inguinal, and anogenital regions. HS has a high negative impact on patients' quality of life even in patients with only limited disease burden, and the diagnosis of HS is often made with a long diagnostic delay. In this practical short version we present diagnostic and therapeutic recommendations which are based on a systematic literature search as well as an informal expert consensus of Swiss dermatologists and dermatosurgeons.

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